Did your insurance cover davinci?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 12/4/2006 10:31 PM (GMT -7)   
Hi all,
 
For those of you who have had DaVinci.  Did your insurance cover it, and if so what health insurance do/did you have?
 
We have United Healthcare in Colorado.  We can't get a straight answer out of them, and are going to ask the DaVinci surgeon we are meeting with, but would be nice to know ahead of time what other's persons' experiences are. 
 
Also, has anyone had DaVinci at a VA hospital associated with a University Hospital?  We haven't even looked into that route, but was wondering. 
 
Thanks for any responses,
 
Tanya and Ken
Signficant Other diagnosed: 10/30/06 (age 63)
PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.
Treatment:  Undecided


dawgfan
Regular Member


Date Joined Aug 2006
Total Posts : 148
   Posted 12/5/2006 6:29 AM (GMT -7)   
BSBS of Alabama has covered most of mine.
Diagnosed 8/24/06
Gleason 6
PSA 3.32
stage T1C
age 48
daVinci on 10/20/06
 
"Never miss a good chance to listen."
 


geobet1
Regular Member


Date Joined Oct 2006
Total Posts : 54
   Posted 12/5/2006 7:10 AM (GMT -7)   

Hi Izzy: Yep, I've got United Healthcare and they're covering everything. I'm headed for the DaVinci tomorrow morning. Call UHC's customer service line. They've answered all my questions.

Best wishes on your journey.

George


        Age 59 -  psa 2.5 to 4.5 in 11 mon.
 9-17-06: DRE - enlarged prostate & nodule L/S
10-10-06: Biopsy
10-17-06: Biopsy Report: 3+3, 3+3, 3+4 
10-30-06: CT & Bone Scan - OK
11-13-06: 2nd CT & chest X-ray - OK
11-28-06: Physical Therapy - Intro to Kegals
11-30-06: Pre-Op for Surgery
12-06-06:  7:30 a.m. Scheduled for Robotic surgery
 
Cancer is what we HAVE
"Cancer SURVIVORS is who we'll be!!"


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 12/5/2006 7:23 AM (GMT -7)   
As with Dawgfan BCBS of Alabama covered all of mine this year but next year the benefits change and they will only cover 90% of the cost. I guess I got lucky having PC this year but I find that hard to say.

Tamu
Diagnosed 7/6/06
1 of 10 core samples, 40%
Stage T1c, Gleason 3+3
Da Vinci on 11/01/06
56 Years Old
Post Op Path
Gleason 3+3
Approx. 5% of prostate involved
Prostate Confined, margins clear


56pontiac
Regular Member


Date Joined Sep 2006
Total Posts : 230
   Posted 12/5/2006 8:43 AM (GMT -7)   
My company Lifewise of Oregon is balking at paying. They first said it was experimental then backed off, after I contacted the manufacturer and they put me in touch whith a person that flooded them with  facts of it not being experimental. Now they say say it wasn't medically neccessary to have a robot and there is also a billing code war going on with them and the doctor. My doctor is amember of their "network" so I think it will get worked out. They paid the hospital and I know for a fact they have also paid on two other robotic surgeries done by  my doctors group. Anyway United Health was one of the companies along with CIGNA and I can't remember who else was listed in the ladies letters to my insurance company that recognize the robot and pay on it. You should be just fine with United Health. They have paid on this robotic surgery before, and will pay on yours.

spinbiscuit
Veteran Member


Date Joined Apr 2006
Total Posts : 818
   Posted 12/5/2006 9:04 AM (GMT -7)   

Hi Tanya & Ken,

I also have United Health Care coverage, and they covered all the expenses. My DaVinci procedure was performed at the George Washington University Hospital. I am not aware of any VA hospital affiliations that GWU Hosp. may have. You should contact them for more info.

Glen


Diagnosed at age 60
PSA went from 2.2 to 3.8 in 14 months
2 ot 14 cores positive at 10%
Gleason 6(3+3), negative DRE, neg. boundaries
DaVinci surgery on 02/23/06
 


USMC Retired
Regular Member


Date Joined Oct 2006
Total Posts : 29
   Posted 12/5/2006 12:10 PM (GMT -7)   
I checked this a.m. with UHC after your question and they said since I had met my deductible for the year and out of pocket that 100% from here on out would be covered. After biopsy, bone scan, cat scan, and MRI filled up those so I would expected but good to have peace of mind going in.
Mac & Donna
 
Age - 59 (barely)
PSA - 4.4
Oct 3, 2006
Biopsy - 3 of 8
Gleason - 3 + 3 = 6
Oct 12, 2006
CAT & Bone scan - both clear
MRI - Nov 14
Treatment - Da Vinci (Dec 13 2006)


Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 12/5/2006 12:54 PM (GMT -7)   

Thanks all, good news to hear. 

 


Signficant Other diagnosed: 10/30/06 (age 63)
PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.
Treatment:  Undecided


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 12/6/2006 4:29 PM (GMT -7)   

Hey Izzy, have you decided on your treatment?  I'm meeting my radiation oncologist the 14th and unless he says something big time to change my mind, I'm going with the IGRT.  Keep us all informed about what you're going to do.

Regards,

Bill


Gleason 3+3=6, T1c, one core in twelve, another pre-cancerous.
62 years old and good health.  Married 37 years.  To same woman!


Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 12/6/2006 4:43 PM (GMT -7)   

we have a meeting on the 26th with the robotic guy and a meeting on January 5th with an oncologist. (might have these reversed don't have my calendar up, but think that is the order). 

We also are squeezing in a colonoscopy on the 3rd of January (thought we should get that out of the way before any prostate surgery, since they did remove a polyp three years ago, so might as well get that done too ... figured it woul be more difficult to tolerate after the surgery). 

haven't totally made up our minds.  but leaning towards the da vinci at the new urology center they have just opened here. 

we will keep you updated, keep us updated on your progress too.

Thanks,

Tanya and Ken

 

 


Signficant Other diagnosed: 10/30/06 (age 63)
PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.
Treatment:  Undecided

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, December 16, 2017 11:50 AM (GMT -7)
There are a total of 2,906,157 posts in 318,925 threads.
View Active Threads


Who's Online
This forum has 158265 registered members. Please welcome our newest member, Packers.
291 Guest(s), 9 Registered Member(s) are currently online.  Details
goshawk, farmer boy, Rick1310, Kct, 3timechamp, James A., Scaredy Cat, Maverick6981, kodaska