Questions about radiation costs for each visit

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Hi everyone,

I need to get radiation for 6 weeks on my left breast. The billing department called me yesterday and told me that I need to pay a copay for each radiation visit. I have insurance and I am required to pay $35 for each doctor visit (specialist). She told me that I am resposible for 32x $35 since they do the radiation in their own facility and they have to send the bill to the insurance as a doctor visit. I wanted to ask you if this is normal or not. When I called my insurance they told me that they treat radiation as an outpatient procedure and it is covered at 100 percent. Then I called the billing department and explained this. She told me the code they will use will be like an office visit. Has anyone had this problem before? Thank you so much for your help.

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  • proudtospin
    proudtospin Member Posts: 5,972
    edited February 2013

    when I started my rads, the hospital told me I would be responsible for whatever ins did not cover.  So they started to ask for $35 copay at each visit.  But since my plan at the time had a max out of pocket they stopped and even returned part of what I had paid.  Yeah, insurance is complicated but suggest you may want to check your plan as likely you will dind that all the other junk you have been through, will make you over soon on the max

    I pulled poverty at the start of my rads as I was terrified about what bills where coming, it worked out fine, good luck

    my plan was the sort of plan a small business can afford so not great but still ok

  • Elizabeth1889
    Elizabeth1889 Member Posts: 1,036
    edited February 2013

    I had to pay a copay for each treatment. To make matters worse, I had to pay the copay for each procedure. For example, on Fridays they took x-rays to make sure the rad treatments were still aligned properly. On those days, I had to pay two copays. I hope everyone else will have better luck.

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