FML X2

Feb. 23rd, 2010 01:06 am
tohma2004: (Glare - ANGRY NARUTO)
[personal profile] tohma2004
Seriously..everytime I think things are worked out as far as my medical expenses, something else pops up.

I have a PET scan Monday. No big deal, I get them every 3 months. Well today I got a letter from Medicaid in the mail. And it essentially said this:

Because you no longer have cancer, we aren't going to pay for your PET scans from this point on.

....WHAT!?!?! But but but..the doctor says I need to get those every 3 months to make sure the cancer hasn't come back. What good is Medicaid if you don't pay for my medical bills??

Um..$5000 PET scan...with no assistance..um, no thank you.

So I have 30 days to appeal the decision or am stuck paying my own medical bills. I'm going to take the letter to my cancer doctor and see what they say about it and if they have any suggestions. I'm also going to try and call my medicaid person.

It's bad enough I've been considering removing the port by May because I know Medicaid is going to stop covering me then..but to think I may have to pay this next PET scan out of pocket REALLY hurts. And if they dont' cover PET..does that mean they won't cover my port flushes and the surgery to remove the port and all that too? IF so..I'm so screwed.

GAH! WHY ME!?!

(no subject)

Date: 2010-02-23 06:59 am (UTC)
From: [identity profile] icouldbeblank.livejournal.com
*wishes lots of luck for you and that appeal*

(no subject)

Date: 2010-02-23 07:01 am (UTC)
From: [identity profile] greatsg.livejournal.com
Best of luck to you. You don't deserve to be screwed over by them for this. :/

(no subject)

Date: 2010-02-23 02:00 pm (UTC)
From: [identity profile] empress-tigress.livejournal.com
Sounds like you are on the right track. You're not in full remission yet. (Only a year in remission and it takes five for "full", IIRC.) So I don't see why it would be cut. Have you investigated a private option, or is that possible? Have you talked to a lawyer to see what your legal rights are in this matter?

Worst case scenario: If you state your case to your doctors, they will usually work out some kind of payment plan with you. We did that for Chris's kidney stone, which cost us $2,000 out of pocket for the emergency room and lithotripsy. I don't know how that would work for $20,000/year in scans alone, but it's worth a shot.

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