Does insurance cover BCG treatment?

4 years 8 months ago #57963 by sara.anne
Replied by sara.anne on topic Does insurance cover BCG treatment?
Excellent news! We have to watch insurance company statements Many years ago I went in for a mammogram and when the billing information came the insurance company had been billed for both the mammogram and a barium enema. I was quite positive I had not had latter procedure !

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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4 years 8 months ago #57962 by Skipinmexico
Replied by Skipinmexico on topic Does insurance cover BCG treatment?
Just to let you know that insurance agent did appeal it and the insurance company revised their ruling and will now pay for BCG.

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4 years 8 months ago #57915 by sara.anne
Replied by sara.anne on topic Does insurance cover BCG treatment?
You should appeal this, or have your urologist write an explanation. I DARE them to go into a pharmacy with a "prescription" and walk out with a vial of BCG. This is a treatment done in the doctor's office NOT a prescription.
Some idiot clerk misunderstood.


Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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4 years 8 months ago #57914 by Skipinmexico
Replied by Skipinmexico on topic Does insurance cover BCG treatment?
Thank you. My insurance paid for all my mitomycin treatments and my first 3 BCG treatments but now on my recent claim they are saying that it only a prescription medication and paying next to nothing.

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4 years 8 months ago #57912 by sara.anne
Replied by sara.anne on topic Does insurance cover BCG treatment?
In the US Medicare pays for BCG treatments as do most other insurances . BCG is considered the standard of care for high-grade or recurring non-Invasive bladder cancer. I would be surprised if an insurance did not cover this . But to be sure you should check with your insurance company if this is a concern

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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4 years 8 months ago #57911 by Skipinmexico
Does insurance cover BCG treatment? was created by Skipinmexico
Does insurance pay for BCG treatments?

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