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February 9
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A MyBCTeam Member

So sorry about this Teresa. Let’s hope the doctor can fix this.

February 9
A MyBCTeam Member

Teresa, I am so sorry they are throwing these other hoops for you to jump through! Can you get the body scan and bone scan done in the same day? Those shouldn't be too uncomfortable. Ask your doctor what can be done to minimize pain for the MRI guided biopsy. I will be keeping you in prayers, that more sensible heads prevail in this situation and that you can avoid all these extra procedures- and just get the needed Petscan instead! Hugs!

February 12
A MyBCTeam Member

Dr did a peer to peer.. still denied petscan.. they want me to get a body ct scan then a bone scan then a biopsy all first 2 injections of dye and that biopsy hurts I don't want to get it is deep and they want to squeeze my sore boob in that clamp for mri guided biopsy. Then they might approve a petscan. Im filling complaints if I every find out who I can file one work. It's now a month passed since new tumors discovered and still no tell nothing I'm so upset...

February 12
MyBCTeam

How can you manage the frustration when insurance requires additional proof before approving a PET scan after finding new tumors on MRI?

It's completely understandable to feel frustrated and want to scream. Dealing with insurance requirements when you're already stressed about new findings is incredibly difficult.

Show Full Answer

How can you manage the frustration when insurance requires additional proof before approving a PET scan after finding new tumors on MRI?

It's completely understandable to feel frustrated and want to scream. Dealing with insurance requirements when you're already stressed about new findings is incredibly difficult.

Unfortunately, insurance companies sometimes require additional documentation or testing before approving certain scans. This can feel like an unnecessary delay when you and your medical team know what's needed.

Here are some steps that might help:

- Ask your oncologist's office to submit a letter of medical necessity explaining why the PET scan is crucial for your care
- Have your doctor's office include details about the MRI findings and how a PET scan will guide your treatment decisions
- Contact your insurance company's patient advocate or case manager to expedite the review
- Ask if there are alternative tests that might be approved more quickly while you wait

Many MyBCTeam members have faced similar insurance battles and found that persistence from their medical team often helps move things along. Your care team has likely dealt with these situations before and can advocate strongly on your behalf.

This waiting period is stressful, but you're not alone in this frustration.

February 9
A MyBCTeam Member

@A MyBCTeam Member

What insurance do you have?

They expect people to give up on their requests for tests.

Also, they are asking you to go through a lot of tests which costs money rather than one test.

There is supposed to be someone at each insurance company who is supposed to address this.

@A MyBCTeam Member

Does anyone know how to do this?

February 12

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