Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Breast Cancer (Expert Forum)
Insurance Coverage
Answered by
Cleveland - OH
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Insurance Coverage
by bobusa, Nov 17, 2008 01:12PM
Hi there recently my wife had pain in her breast so we got a mammogram done on 10/08/2008 . I paid cash for the mammogram. the doctors then suggested to do a needle biopsy. I apply for insurance on the same day as mammogram and get approved 2 days later insurance starts. I visit a general surgeon on 10/15/2008 and he asks my wife when she started getting pain and she replied 2 WEEKS OR SO. THE DOCTOR TELLS US HE DOESNOT THINK ITS CANCER as cancer normally doesnot pain. So we ask him whats the next step. He tells us to do a surgery instead of needle biopsy. We agree. On 10/20/2008 we go in for the surgery and while hes operating my wife he sends the tissue for pathology report. IT COMES BACK AS CANCER STAGE 2 AND SO HE REMOVES HER BREAST. Now we got to do chemotheraphy for 8 weeks once every three weeks. The insurance company told the doctor that it was preexisting. Is it true. As it was daigonosed only on 10/20/2008 and my insurance coverage started on 10/10/2008. Also we were completely unaware of it till then. They also asked my doctor to send in the pathology report and his report and date we met him. They also asked if my wife ever visited doctors in last five years. the answer to that is she has never visited any doctor in last 11 years besides my daughters birth time which was in 1999 and 2000 . Thats all should be there on her medical record. Also when i logg in to the insurance website it shows the hospital bill and doctors bill as paid. Please advise ur inputs on the same.
thanks
bob
thanks
bob
Doctor's Answer
by Cleveland Clinic, Nov 17, 2008 01:33PM
, Nov 17, 2008 01:33PM
Dear bobusa: We are a breast cancer forum and our expertise is about cancer and cancer treatment. Insurance issues can vary according to policy. You may benefit from talking with a social worker or a financial counselor at your doctor’s office who may have some expertise in solving these matters and helping you to deal with the insurance company.
