Frustration with insurance companies is mounting. Tate was scheduled to have a PET scan on Monday after his 3rd round of chemo. A PET scan will give the doctors a good sense of how well the chemo and radiation have worked thus far. This means that they can change the chemo protocol if the results aren’t what was anticipated.
On Friday Tate received a phone call from the oncologist’s office that said that he couldn’t have the PET scan on Monday as was planned. He was told the insurance company hadn’t cleared the procedure. Yesterday a letter arrived from the insurance company that explained the delay. They were denying the procedure, saying it wasn’t “medically necessary”. They don’t think that the procedure should be done until the end of the chemo. This totally negates the idea that the scan should be done so that if it isn’t working well the protocol can be changed earlier rather than later.
We’re lucky. The oncologist’s office is willing to fight for Tate’s need for the scan. But insurance companies know that if the doctor doesn’t take on the battle, as many doctors won’t, people may not have the time or energy for the fight. When people are very sick, especially if they don’t have advocates, they are less likely to get into an all-out battle with an insurance company. And that’s what the insurance company counts on.
So now we’re hoping that the scan will be done on Tuesday. And if the insurance company continues to deny his right to have the procedure, we could be in for a long fight.
So, insurance companies be damned!
Hoping for the best,