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Help needed from the OT

Posted on 1/28/20 at 8:52 pm
Posted by Teauxler
Baton Rouge
Member since Jan 2010
3286 posts
Posted on 1/28/20 at 8:52 pm
OT.. I come asking for prayers and assistance.

My brother has been diagnosed with Stage 4 Renal Cell Carcinoma. He was given 6 months if he did nothing or 2+ years if he chose to fight it. He has chosen to fight it. He was scheduled to have his first chemo treatment today. He was notified prior that his insurance plan doesn't cover anything and his out of pocket cost would be $32,000 per treatment. I am currently trying to research what kind of policy he has. With that being said, if his insurance truly doesn't cover anything, what options and avenues do we have to get him the treatment ?

I know there is probably alot of missing info but I'm just trying to start the process and gather information.

Thanks as always OT !
Posted by 13SaintTiger
Isle of Capri
Member since Sep 2011
18315 posts
Posted on 1/28/20 at 8:53 pm to


Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 1/28/20 at 8:54 pm to
Glad to see he chose to fight

Just wanna add my wife’s cousin got diagnosed many years ago with breast cancer. They gave her 6 months with her fighting it. She survived 7 years, and lived very well until only the last 6 months or so. Another guy I know with cancer, can’t remember which one was given less than a year about 6 years ago. Was playing tennis the other day
This post was edited on 1/28/20 at 8:58 pm
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120170 posts
Posted on 1/28/20 at 8:55 pm to
There are resources. People with no insurance can get the exact same chemo as people with BC/BS.

Academic institutions would be best resource. Locally probably LSU NOLA
Posted by Teauxler
Baton Rouge
Member since Jan 2010
3286 posts
Posted on 1/28/20 at 8:55 pm to
he feels like he was given a death sentence today. I'm doing what I can. It's been exhausting couple of hours.
Posted by Tiger in Gatorland
Moonshine Holler
Member since Sep 2006
9075 posts
Posted on 1/28/20 at 8:56 pm to
Medicaid? Might have to drop the current policy and meet income guidelines??
Posted by Bucktail1
Member since Feb 2015
3186 posts
Posted on 1/28/20 at 8:56 pm to
They did the same thing to my dad. Appeal their decision and have your oncologist contact the insurance carrier's MD and they'll pay
Posted by financetiger
Member since Feb 2008
1666 posts
Posted on 1/28/20 at 8:56 pm to
I'm sorry to hear about your brother, this is truly heartbreaking. As much as people don't like them and complain about them, I would think a Go Fund Me may be a consideration. Or he could cash out his 401K (or savings, etc) if he has any think built up. Good luck! Please keep us updated.
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21363 posts
Posted on 1/28/20 at 8:56 pm to
He could always commit a serious crime and the government would pay for his treatments. He would go to the same hospitals.

Prayers for you, he, and his family.
Posted by NotoriousFSU
Atlanta, GA
Member since Oct 2008
10177 posts
Posted on 1/28/20 at 8:57 pm to
Hear me out...

Posted by LSUJML
BR
Member since May 2008
45187 posts
Posted on 1/28/20 at 8:58 pm to
Appeal the insurance denial

Reach out to cancer services of Baton Rouge or whichever city he is located in

Reach out to a social worker at the cancer treatment center

It’s complete bull shite that he has insurance & has to deal with them not paying when all he should have to worry about is his health


This post was edited on 1/28/20 at 9:00 pm
Posted by tigergirl10
Member since Jul 2019
10307 posts
Posted on 1/28/20 at 8:59 pm to
This and sometimes the drug companies have patient assistance programs directly through them. I am so sorry. Just said a prayer for your brother and family.
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 1/28/20 at 8:59 pm to
quote:

he feels like he was given a death sentence today.


Check my ETA
Posted by fr33manator
Baton Rouge
Member since Oct 2010
123922 posts
Posted on 1/28/20 at 9:01 pm to
quote:

he feels like he was given a death sentence today


He already had the death sentence. The cancer was in him. Now that he knows at least he can fight. Man...I’m terribly sorry. There are no words to soothe. He’s gonna need your support to help him in this fight.

Brotherly Love-Keith Whitley

We are our brother’s keeper.

Older or younger?
Posted by jaytothen
Member since Jan 2020
6404 posts
Posted on 1/28/20 at 9:01 pm to
frick cancer.

I don't have any advice sadly but hoping for the best for your brother and family.
Posted by East Coast Band
Member since Nov 2010
62725 posts
Posted on 1/28/20 at 9:03 pm to
Very sorry to hear about your brother.
I'm hoping for the best for him and his family.
But $32,000 a treatment is downright criminal. It really aggravates me that people in need, like your brother and family are having to shell out that level of funds.
Posted by Teauxler
Baton Rouge
Member since Jan 2010
3286 posts
Posted on 1/28/20 at 9:04 pm to
older
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120170 posts
Posted on 1/28/20 at 9:04 pm to
The only thing you absolutely have to have insurance for is organ transplants.

Most anything else there are resources to get it.
Posted by Teauxler
Baton Rouge
Member since Jan 2010
3286 posts
Posted on 1/28/20 at 9:06 pm to
so here's the problem. I'm looking at his insurance card. trying to gather info. He has GPA insurance. However, it appears to be some sort of wellness plan.

Medical Plan
- Authorized preventative and wellness services are covered at 100%
Posted by 777Tiger
Member since Mar 2011
73856 posts
Posted on 1/28/20 at 9:07 pm to
this ain't goina help but if I get it, or anything else terminal, it's just going to have to run its course, no treatment for me, also, unfortunately for the medicos on here, you can negotiate that down to nothing, good luck
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