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Side-effects of radiation
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05/20/2012 23:36
mharrel 
05/20/2012 23:36
mharrel 
Re: Side-effects of radiation

Does medicare pay for RT in the US? If medicare pays, it pretty well establishes the treatment as accepted.

05/21/2012 00:47
callie 
05/21/2012 00:47
callie 
Re: Side-effects of radiation

There are different areas of medicare jurisdiction. One area might approve the procedure and another area might not. Medicare will not pre-approve, so a person doesn't know for sure. Again, if RT weren't so expensive in the U.S. a person could go ahead and have it done and wouldn't be out much.

05/21/2012 02:05
cindy850 
05/21/2012 02:05
cindy850 
Re: Side-effects of radiation

Re: Side-effects of radiation
This is what i paid and was posted on cost of radiation
Re: Cost of RT
I went for 10 days and each treatment lasted about 5 minutes each at the most. And i had 2 GY each day per each hand or 20GY for both hands in 10 days. My insurance was a $2000 deductable that i paid and then they paid the rest. I do know my bill was alot less than some of the quotes people on the forum talked about. My bill in total with all the office visits and radiation was $4100 give or take. Which means my ins. paid $2,100. If you have no ins. the charge would be $6,100.

I'm very confused now. Because for one how do you know that medicare needs to have it pre-approved. How do you know if some areas will pay and some areas won't. Unless you have medicare. You have yet to say what ins. you have. And i decided to repost what i paid and even if you don't have ins. From what i see on cost from other places this is cheap. If i had no ins. i would still do it by credit card or pay payments. And then yo have to remember what ever ins. you have we drop the charge down after it gets filed. So you could do RT have doctor file it and then they will do allowable charge which is what you will be left with even if they don't pay for RT it will still get dropped. Please explain yourself do you really want to do this or not. It will be the best money you have ever spent.

05/21/2012 03:00
callie 
05/21/2012 03:00
callie 
Re: Side-effects of radiation

You asked/said, "I'm very confused now. Because for one how do you know that medicare needs to have it pre-approved. How do you know if some areas will pay and some areas won't. Unless you have medicare. You have yet to say what ins. you have".

1) Medicare does not have to have a procedure pre-approved. They will not pre-approve a procedure.

2) The physician handling my RT request has worked in different Medicare areas. He said (I believe) that there were 6 or 7 different Medicare areas and they make decisions independent of each other.

3) Yes, I did say which insurance I had right after the question was asked.


I called a couple of the RT locations on the list on this website and they gave me a ballpark cost for RT that was close to what I was quoted when we made the request for pre-approval.

05/21/2012 13:16
cindy850 
05/21/2012 13:16
cindy850 
Re: Side-effects of radiation

I did not find my doctor on this list. I decided to call doctors in my area and found one that was 20 minutes away and was very reasonable in price. Maybe you should call around in for area or come for treatment with my doctor. Just a thought. Call radiologist oncology doctors.

05/21/2012 14:01
callie 
05/21/2012 14:01
callie 
Re: Side-effects of radiation

It is an interesting decision. I appreciate the ideas. It is/will be what most people will be faced with. It is a gamble to pay $5,000 to $13,000 out of pocket for RT (in my view) because a person doesn't know whether the Dupuytren's would go dormant as a natural occurrence. At over $5,000 (and most likely over $10,000) I guess I am willing to take my chances and go with surgery at 40 degrees contracture. I would do RT if insurance would cover it.

You said, "Call radiologist oncology doctors". That is who I was dealing with.

05/21/2012 16:48
Larry 
05/21/2012 16:48
Larry 
Re: Side-effects of radiation

callie:
It is an interesting decision. I appreciate the ideas. It is/will be what most people will be faced with. It is a gamble to pay $5,000 to $13,000 out of pocket for RT (in my view) because a person doesn't know whether the Dupuytren's would go dormant as a natural occurrence. At over $5,000 (and most likely over $10,000) I guess I am willing to take my chances and go with surgery at 40 degrees contracture. I would do RT if insurance would cover it.

You said, "Call radiologist oncology doctors". That is who I was dealing with.

If you have RT early you will have only ONE TREATMENT and pay only ONCE - possibly TWICE if you go to an unexperienced doctor

If you wait for later stages, you may pay NOTHING because you life is shorter than the contraction process

Or you pay MULTIPLE TIMES as surgery will almost always demand for more surgery over time ... same with
needle aponeurotomy, collagenase ... these treatments are all set up to be done MULTPLE TIMES !

That's THEIR WINNING SITUATION not YOUR'S !

Its a pity that many people go this established track. MONEY is more important than EXPERIENCE and EVIDENCE !

All the best, Larry !

05/21/2012 17:38
callie 
05/21/2012 17:38
callie 
Re: Side-effects of radiation

Larry,

I don't understand your comment? "If you have RT early you will have only ONE TREATMENT and pay only ONCE - possibly TWICE if you go to an unexperienced doctor".

The studies that have been done do not back up your statement. RT is not a 100 percent a sure situation.

You said, "Or you pay MULTIPLE TIMES as surgery will almost always demand for more surgery over time ... ". That statement is a little overcooked. Most surgeries do not require a second surgery. My surgeon said that it was very rare that a second surgery was required from him.

05/21/2012 18:19
cindy850 
05/21/2012 18:19
cindy850 
Re: Side-effects of radiation

99.9% with treatment for RT and would never have surgery.

05/21/2012 18:57
callie 
05/21/2012 18:57
callie 
Re: Side-effects of radiation

Cindy,

How did you arrive at that figure? Are you making it up, or do you have information to support that. I would like to use your data with my insurance company.

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