Today I received the usual bills, etc... in the mail along with 2 interesting things that were PC related. The first was an 8 page promotional booklet from one of our local hospitals. On the front cover was a picture of a runner and the title of one of their articles, "Faster, Clearer, Better Imaging for Prostate Cancer
". That sparked my interest so I
open it up to the article and it is all about
the F18 Sodium PET/CT Bone Scan. It talks about
how it provides increased sensitivity compared to the traditional bone scan and that they offer it, even a place where one can call to schedule it.
Now the ironic part of my mail day. After reading the article, I picked up the next piece of mail and it was from my insurance company. Here it was a letter saying that my insurance company has denied a request from Dr. Myers to get the F18 scan. They classify it as not medically necessary and appropriate. They go on to say that this scan meets the definition of Investigational or Experimental and therefore cannot be authorized at this time....and some more blah blah blah.
What's funny is that more and more hospitals are starting to adopt this type of bone scan, yet they deny it. Even more interesting, this same insurance company had no problem the first time I got an F18 bone scan done.
There is an appeal process and Myers and I will down that road I'm sure, but it gets exhausting sometimes trying to get things approved, or when they don't pay for something - fight for that, fight for this....It's bad enough we have to deal with this disease, but to battle with insurance companies gets old.
I'm more amused that both of those items were side by side in the mailbox.
11/09 Dx at Age 44 -------------- 4.03
12/09 DaVinci Surgery
1/10 T3b, G9 --------------------- <.05
2/10 Adj. Radiation -------------- <.05
3/11 PSA Rise/Scans/Spot ------- .09
on Pelvic Bone
4/11 HT / XGEVA ------------------ .06
5/11 Spot Radiation -------------- <.05
12/11 - 9/12 ------------ <.01
On IET (Intermittent Everything Therapy)
Post Edited (Jerry L.) : 9/15/2012 6:51:10 PM (GMT-6)