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Seeking help with insurance company to get treatment What is this ?

 
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bandittsgirl
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Joined: 16 Apr 2007
Posts: 5
PostPosted: Mon Apr 16, 2007 12:15 pm    Post subject: Seeking help with insurance company to get treatment Reply with quote
I am looking for help from anyone that has had to battle the insurance companies in order to get the treatment they DESERVE.

My Father (age 56) has been diagnosed with prostate cancer that has metastasized to his hip bones. His original PSA was 184. He started hormone therapy in February and with hormone therapy it has dropped to 60 and then 26.6, and hopefully lower; but haven't gotten the latest results yet. His Gleason score is 9 (5+4). His biopsies showed that the prostate had undifferentiated carcinoma (meaning that the cancer was solid all the way through).

He has started seeing Dr's at City of Hope and has signed up for a clinical trial using hormone therapy and Helical Tomo Therapy. The Helical Tomo Therapy is looking like it is going to be his best opportunity to fight this cancer. This type of radiation spirals around the entire tumor and "hits" it from hundreds of different angles as it travels around. The studies are showing that it is really helping people with bone cancer, it is a very precise treatment that does much less damage to surrounding tissues and areas. It is also the only type of radiation therapy that City of Hope uses for people with prostate cancer.


We found out on Friday afternoon that Blue Cross Blue Shield (BCBS) has denied covering the (Helical Tomo Therapy) treatment for him. They said it is just too expensive and the hormone therapy should be enough for him.

He has written a letter to BCBS and so has his Dr. from City of Hope. Where do we start this fight on getting them to change their minds and allow us many more years with our Father.

ANY information on how to go about this would be appreciated. You may also e-mail me at bandittsdaisy@yahoo.com.

THANKS
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bandittsdaisy@yahoo.com
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bandittsdaisy@yahoo.com
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