Treatment FAQ

how do i find and advocate to help me get my insurance to ok treatment for my lung cancer

by Skye Ortiz Published 2 years ago Updated 2 years ago
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How can I get financial assistance for cancer patients?

Individuals with cancer should never hesitate to discuss their financial concerns with their doctor. If needed, physicians can refer patients to social workers or care coordinators to link them to the financial assistance they need. That doesn't mean you shouldn't start reaching out on your own.

How do I contact CancerCare for services?

Services are provided by oncology social workers over the telephone, in person, and through the organization's website. CancerCare's reach also extends to health professionals, providing the educational resources they need. Telephone 800-813-4673 (800-813-HOPE) or email [email protected].

How do I find out if my insurance company covers alternative treatments?

If you are looking into alternative treatments, contact your insurance company to find out what your plan covers. You may want to ask them: Does my insurance plan provide any coverage for [the alternative method you are interested in trying]?

Is there a 24 hour helpline for cancer patients?

A 24-hour helpline is operated at 800-227-2345 (800-ACS-2345) with a live chat available on the organization's homepage. CancerCare is a national, non-profit agency that offers free support, information, and financial assistance to people with cancer and their loved ones.

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What financial resources are available for cancer patients?

Government AssistanceU.S. Department of Health & Human Services. Information on public assistance and food stamps.U.S. Administration on Aging. ... Centers for Medicare & Medicaid Services. ... Social Security Administration. ... Needy Meds. ... CancerCare® Co-Payment Assistance Foundation. ... Good Days. ... HealthWell Foundation.More items...•

What resources are available for patients with lung cancer?

Current charities that assist non small-cell lung cancer (NSCLC) patients are:CancerCare Co-Payment Assistance Foundation.Good Days.The Patient Advocate Co-Pay Relief Foundation.Patient Access Network Foundation.

What does American Cancer Society help with?

We promote healthy lifestyles to help you prevent cancer. We research cancer and its causes to find more answers and better treatments. We fight for lifesaving policy changes. We provide everything from emotional support to the latest cancer information for those who have been touched by cancer.

Can cancer patients get free ensure?

Liquid nutrition helps cancer patients maintain weight during and after treatment and acts as one source of nourishment once side effects occur. Monetary donations are needed so we can supply Ensure to them free of charge.

What is the survival rate for lung cancer?

The lung cancer five-year survival rate (18.6 percent) is lower than many other leading cancer sites, such as colorectal (64.5 percent), breast (89.6 percent) and prostate (98.2 percent). The five-year survival rate for lung cancer is 56 percent for cases detected when the disease is still localized (within the lungs).

What can you do to help someone with lung cancer?

Coping Tips for Lung Cancer CaregiversCoordinating medical appointments.Providing a ride to appointments.Communicating with the cancer care team.Providing support and encouragement.Giving medications.Handling insurance and financial issues.Helping with tasks such as cleaning, grocery shopping and paying bills.

How can I pay my bills if I have cancer?

If you're having problems with other bills too, get helpNational Association of Insurance Commissioners. Toll-free Number: 1-866-470-6242. ... Patient Advocate Foundation (PAF) Toll-free number: 1- 800-532-5274. ... Cancer Legal Resource Center (CLRC) ... Financial Planning Association. ... Internal Revenue Service.

What benefits are available to cancer patients?

Cancer patients are entitled to a variety of government benefits. These include Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicaid and Medicare. These benefits last long-term as long as you continue to meet the criteria required by the SSA.

Is cancer a disability?

According to the United States Equal Employment Opportunities Commission (EEOC), cancer is not always considered a disability. The ADA can help protect you when cancer prevents or makes it very hard for you to do everyday tasks such as household chores, bathing, and brushing your teeth.

Can doctors prescribe ensure?

Ensure Plus is available over the counter and therefore not eligible for insurance coverage. In some cases, your doctor could write a prescription for Ensure Plus, which may help you get some financial assistance from your insurance plan. The average retail price of Ensure Plus is about $47.76 for 24, 237ML of Liquid.

What is the best drink for cancer patients?

Drink beverages that contain calories, such as fruit juice, lemonade, fruit-flavored drinks, malts, floats, soda pop, cocoa, milkshakes, smoothies and eggnog. Nutritional supplement drinks are convenient options.

How does cancer affect you financially?

So a cancer diagnosis might create serious financial hardship. In fact, more than half of US cancer survivors say they have high medical costs, have stress from worrying about paying health bills, or have delayed medical care due to costs. Almost 33% say they have more than one of those problems.

What is a patient advocate?

A patient advocate is someone who acts as a liaison between you and your family and the healthcare industry , whether it's doctors, nurses or insurance companies. One common issue patient advocates address is patients getting discharged too quickly. "It's not always the hospital's fault.

What does "get the proper care" mean?

Getting the proper medical care when you need it could mean the difference between life and death, so you might consider hiring someone to be your advocate. PHILADELPHIA (WPVI) -- Getting the proper medical care when you need it could mean the difference between life and death. And even if a health issue isn't severe, ...

What if my state doesn't have a consumer assistance program?

Whether or not your state has a Consumer Assistance Program, you have rights and protections under the health care law, including the right to appeal decisions made by your health insurance provider.

How to contact the Department of Labor?

Department of Labor, at www.askebsa.dol.gov or 1-866-444-3272.

Patient Advocate

The Patient Advocacy Program is for all veterans and their families who receive care at Veterans Health Administration (VHA) facilities and clinics. We want to be sure you have someone to go to with your concerns in a timely manner and to help you receive care.

VA Wants to Hear From You

The Department of Veterans Affairs (VA) wants to make sure you get the best care possible. Every employee at VA, especially your treatment team, wants to be involved in providing the best care possible. If you have a compliment, suggestion or concern regarding your care, first speak with your treatment team.

What Is a Patient Advocate?

A patient advocate acts as a liaison between a patient and the health care system. Dealing with insurance is obviously a big part of a patient advocate’s job. To that end, they can help with medical coding and billing issues, particularly when you have a life-threatening or debilitating illness.

What Does a Patient Advocate Do?

Working from within the system, patient advocates have a multifaceted job that involves enhancing the experience of their patients by removing barriers to care, dealing with job retention issues so patients who have insurance can keep that coverage and helping the uninsured get set up with charity care or other available programs.

Who Needs a Patient Advocate?

One of the most common questions we get to Ask Clark — part of our suite of off-air opportunities for advice that money expert Clark Howard makes available for free — is “When do I need a patient advocate?”

How Can You Find a Patient Advocate?

Many hospitals have patient advocates on staff. However, if you ever sense there is a conflict of interest because their patient advocates work for the hospital system, you may want to find one on your own.

What Can You Expect From the Patient Advocate Foundation?

As mentioned above, the PAF and their patient advocates have four main ways of helping people.

How Can a Patient Advocate Help With Your Health Care Costs?

As mentioned earlier, PAF will pair you up with a free patient advocate if you have any of a number of common diagnosable life-threatening or debilitating illness.

Final Thought

As you can see, there are multiple circumstances where a patient advocate can make a financial difference in your life.

Why does my insurance not approve my request?

Reasons that your insurance may not approve a request or deny payment: Services are deemed not medically necessary. Services are no longer appropriate in a specific health care setting or level of care. The effectiveness of the medical treatment has not been proven. You are not eligible for the benefit requested under your health plan.

How to appeal a health insurance claim?

Your insurer must provide to you in writing: 1 Information on your right to file an appeal 2 The specific reason your claim or coverage request was denied 3 Detailed instructions on submission requirements 4 Key deadlines to submit your appeal 5 The availability of a Consumer Assistance program, if available in your state

Is the effectiveness of the medical treatment proven?

The effectiveness of the medical treatment has not been proven. You are not eligible for the benefit requested under your health plan. Services are considered experimental or investigational for your condition. The claim was not filed in a timely manner.

Cancer Advocacy With Insurance Companies

Until precision oncology becomes integrated into mainstream cancer care, services must be paid up front, out of pocket, by clients. The good news? CTOAM is often able to get our clients’ cancer treatment covered through their insurance company, compassionate care, and even the public health care system.

How to Pay for Cancer Treatment

Good insurance plan: Many insurance companies will now cover most, if not all, of the testing fees and research services, for those with executive packages and critical illness insurance.

Why You Need a Cancer Advocate

It can be difficult to claim expenses from an insurance company; CTOAM’s advocacy services give you a serious advantage. We provide you with the personalized research and data necessary for your oncologist to vouch for you, which makes it much more likely that your insurance company will cover your costs.

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