April 26, 2010 at 12:28 pm #37166
Updating with what little info I have.
I have yet to hear from insurance commissioner, however, I did get a letter from BCBS stating they were reopening the claim! Thats all I got for now!April 17, 2010 at 1:52 am #37165ashleyMember
Our case was different. My mom was on medicare and they paid for everyhting UNTIL she was officially diagnosed with CC. Then when she was admitted into the Mayo protocol for transplant medicaid would not pay because they said it was experimental. BCBS was her second FULL policy ( not supplemental) and we were so lucky that they picked up her 450K bill for chemo, brachytherapy, dozens of CT scans ( never had a PET) and live donor transplant from my brother. Of course she will be on meds the rest of her life too. So in our case, medicare was the problem and BCBS helped save the day.. best of luck
ashleyApril 16, 2010 at 11:57 pm #37164Lainy wrote:Jill…I cannot resist this…but instead of a PPO should it not be POOP!~
HA HA HA! Lainy, I happen to agree with your assessment!April 15, 2010 at 6:33 pm #37163lainyMember
Jill…I cannot resist this…but instead of a PPO should it not be POOP!~April 15, 2010 at 5:15 pm #37162
Thanks to all that have responded here. I am getting all the paperwork together right now to send into the state insurance commission.
Oh, and someone ask if my plan was hmo or ppo, it is a ppo.April 13, 2010 at 3:43 pm #37161debrahMember
Hi Jill, I have BCBS and have has many scans including several PET scans that were fully covered no questions asked. I wish you lots of luck…fighting back helps..not that you need that on top of everything else. Wishing you the best. debApril 12, 2010 at 3:46 pm #37160linda-zMember
I have BCBS “HMO” that HAS paid for a PET scan. That might make the difference. Do you have a PPO or an HMO? My BCBS is in Illinois also. That ALSO may make a difference. My insurance has been pretty good “so far” with covering all the tests that I’ve had. Fortunately, I had the insurance coverage BEFORE my diagnosis as I’ve heard that getting coverage after a diagnosis can be difficult.
Keep up the fight for coverage. Good luck.
Linda Z.April 9, 2010 at 5:13 pm #37159kentuckyjackMember
Jill–I have Blue Cross/Blue Shield of Kansas now called Anthem. They’ve paid for everything so far, but I don’t think they’ve processed a PET scan yet. I’ll be re-checking my bills in a few days. Will post more as I learn what is up. By the way, I’ll be giving up BCBs 8/31 when my Cobra runs out. I’ll be forced to go onto Medicaid in one of the worst states for Medicaid coverage. And I won’t be allowed to go out of state for care. Both the old and new healthcare systems seem to omit me in their plans. God will help anyway!April 9, 2010 at 2:42 pm #37158lainyMember
Hi Jill, we don’t have that insurance BUT for Teddy’s PET in December all of a sudden his Insurance Company denied us so I got on the Internet and found a Company here in Phoenix that does nothing but PET Scans. They wanted 1900.00 then they had a company that would pay a couple hundred toward it and the PET would have cost us 1,400.00. While not the same as having insurance cover it with a co-pay, it was not as bad as the hospitals charge.
Long story short…the Radiologist came through and fought for us and the Insurance approved the scan at the last minute. Ask your ONC or Radiologist if they will intervene. If not see if there is a PET Scan office where you live.April 9, 2010 at 1:04 pm #3407
I am looking for anyone who has BCBS. Need to know if they have ever paid for one of your PET scans.
We have just had a claim denied saying this is experimental or investigational.
Thanks. I am just so upset right now with all the medical bills and this for a person who had paid health insurance premiums for over 25 years. I can not imagine what those with no insurance are going through.
Maybe I just need to get divorced and go on Medicaid.
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