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mesothelioma chemotherapy

Paying for Chemotherapy

 

What Questions Should I Be Able to Answer About My Insurance?

Getting Maximum Coverage of Clinical Trials Costs

The cost of chemotherapy varies with the kinds and doses of drugs used, how long and how often they are given, and whether you get them at home, in a clinic or office, or in the hospital. Most health insurance policies cover at least part of the cost of many kinds of chemotherapy. There are also organizations who will help with the cost of chemotherapy and with transportation costs. Ask your nurse or social worker about these organizations. Finding the answers to the questions below will help avoid problems in receiving payment later on.

What Questions Should I Be Able to Answer About My Insurance?

  • What are the benefits of my insurance plan?
    • What cancer treatments/care does it cover?
    • Do I have a primary care provider? Can I use only certain "preferred providers" under my plan?
    • Am I entitled to a yearly checkup or does my plan only cover office visits when I am sick?
    • What are the benefits if I go outside of my health plan to obtain care?
  • What are the rules of my insurance plan?
    • Do I need a referral from a primary care provider?
    • Do I need a written referral form?
    • Do I need to get approval from my health plan (pre-certification) before seeing a specialist, obtaining treatment, tests, and medical equipment or physical therapy services or going to the emergency room or a hospital?
    • Does my lab work, including blood work, or pap smear need to go to a special lab?
  • Do I have to pay a certain amount (co-pay) at the time of my visit?
  • Do I have an amount that I must pay for medical expenses (annual deductible) before the insurance pays for services?
  • Do I have a lifetime or annual limit on how much is covered for medical expenses?
  • Is there a special pharmacy where I need to get my medications?
  • Are all tests and procedures covered both as an in-patient and out-patient?


Getting Maximum Coverage of Clinical Trials Costs

Many clinical trials (treatment studies) offer some part of care free of charge. But some insurers will not cover certain costs when a new treatment is under study. Your doctor can work with you to try to help you. If you are taking part in or considering a clinical trial:

  • Ask your doctor about other patients in the trial. Have their insurers paid for their care? Have there been any consistent problems?
  • Talk to your doctor about the paperwork he or she submits to your insurer. Often the way the doctor describes a treatment can help or hurt your chances of insurance coverage.
  • Find out what is in your policy. Check to see if there is a specific exclusion for "experimental treatment."

Many insurance companies handle new treatments on a case-by-case basis, rather than having a blanket policy. You can always ask about their coverage of specific therapies. However, some patients say that their questions may have hurt their chances for coverage by raising a red flag. A call from your nurse or social worker to your insurance company about specific coverage may be helpful.

Support groups for cancer patients.

How doctors choose a chemotherapy regimen

 

 

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**(Packet includes information on treatment, clinical trials, cancer links, how to access legal and financial resources, and frequently asked legal questions with answers provided by Cooper, Hart, Leggiero & Whitehead, PLLC.). By filling out the above form you consent to being contacted by Cooper, Hart, Leggiero & Whitehead regarding potentially retaining legal services.


This website is sponsored by Brad Cooper* of The Cooper, Hart, Leggiero, & Whitehead, PLLC. Cooper, Hart, Leggiero, & Whitehead is located in The Woodlands, Texas (Greater Houston Area) and can be reached toll free at 1-800-998-9729 for more information on mesothelioma. Brad Cooper is not a medical doctor. The information on these pages is for the education of mesothelioma patients and their families regarding potential medical and legal options. Patients are advised to consult with a medical doctor.

*  Licensed by the Supreme Court  of Texas.

 

 

 

The use of chemotherapy in patients with advanced malignant pleural mesothelioma: a clinical practice guideline.

Advances in the systemic therapy of malignant pleural mesothelioma

Kinase Inhibitors for Mesothelioma Treatment

journal abstracts

Active symptom control with or without chemotherapy in the treatment of patients with malignant pleural mesothelioma (MS01): a multicentre randomised trial

The second wave in kinase cancer drugs

Cisplatin and vinorelbine first-line chemotherapy in non-resectable malignant pleural mesothelioma


Cytoreductive surgery and intraperitoneal chemotherapy for peritoneal mesothelioma.