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Just Diagnosed with Cancer? Chat with Experts

Not Done Yet

By Not Done Yet Thursday, February 16, 2012

An shocking 10 days, sent for ultrasound, then biopsy, then surgery, and now told that I will have to go back and have more tissue removed.  I would love to tell all that my positive attitude is going to help me overcome this but right now I am worried about my job, my bills, my family. I think most women are more concerned about the practical stuff. I just found out the hard way that my company, that claims to be family orienetd, only pays for 50% of the pathology, no reconstruction and considers every visit for radiation a separate co pay .  that I have been told I will go every day for six weeks so multiply the $25 co pay and the thousands for the pathology work and it is not what I would have picked out for my family. I have worked hard every day for 30 years and put myself and my younger brother through college. It is not that I thought I was immune to this, I just never dreamed the company I loved would provide so poorly. 

Paying for Cancer Treatment: First, Don’t Panic
Phyllis Johnson, Health Guide
2/16/12 8:09pm

It is a shock to find out how much insurance does not cover in situations like this.  You may have already done this, but sit down with the human resources person at your work place or a representative of the insurance company to make sure you understand what is and isn't covered.  I've been on more than one insurance plan since my diagnosis, and each has its own little twists and turns.  For example, you may have a maximum expenditure per year after which the insurance will pick up the rest.

If the insurance picture is as grim as it seems, then you can talk to the hospital and the oncologist's office.  They may know about some community resources that help patients with copays and other expenses uncovered by insurance.  Almost all hospitals and doctor's offices will work with you on a payment plan.

It is a shame that at the time when you need to be concentrating on your health, you have to worry about copays and other financial issues.  I hope that you find the resources you need to ease your worries.

Phyllis Johnson, Health Guide
2/16/12 8:12pm

I should have also mentioned that your insurance is required by federal law to cover mastectomies and reconstruction at the same rate as other types of surgeries.  So if you have a high deductible for an appendectomy or heart surgery, your insurance can charge the same for your breast cancer surgeries, but not more.

2/16/12 8:28pm

Thank you so much, I am going to look up the insurance regulations. Thanks for taking the time to respond

Phyllis Johnson, Health Guide
2/16/12 8:43pm

The name of the bill is the Women's Health Care and Cancer Rights Act of 1998.  I've provided the link so that you can read it for yourself and show it to your employer if necessary.

3/29/12 2:24pm

It has been a month since you last posted, and I hope you have gotten some answers from insurance and doctors. 

 

Also, if there is a teaching hospital near you, they also have programs for patients with insurance that does not cover someth things. Thinking of you.

 

Peglove

By Not Done Yet— Last Modified: 03/29/12, First Published: 02/16/12