Don M Posted April 5, 2007 Share Posted April 5, 2007 My cyberknife center contacted my insurance company. I am at the point where I see if the insurance will cover it or not. They said it was "investigational”. That must be a health insurance industry favorite word. They approved every thing except 2 codes, which are the actual treatment and the most expensive part. My center is gathering up documents and a signed statement by my radiation oncologist in hopes of dissuading the insurance people from thinking that cyberknife for lung tumors is investigational. If they don't buy it, then I have to file a formal appeal. In the meantime I am applying for charitable assistance so that I can get the treatment while the insurance process goes on. My insurance is Federal Employees Blue Cross Blue Shield, Basic Plan. I am a little surprised that they won't cover it. The interventional pulmonologist thinks he may be able to get fiducials in my tumor and get a tissue sample too. If he can’t, I may be able to do it later this year when he has SuperDimension Bronchus available. It is more flexible and you would always know where you are in the lung. That may be 6 months from now. In the meantime, if he can’t get the fiducials in, I would go on tarceva and hope to stay stable at least until SuperDimension Bronchus is available. By then, hopefully there will be a good outcome in an insurance appeal. I am retired and won’t mind spending my spare time hounding the insurance company. Don M Quote Link to comment Share on other sites More sharing options...
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