Issels Integrative Immuno-Oncology October 19, 2017  

Medicare and Early Cancer Detection – What to Know

Dear Friend,

Navigating the ins and outs of Medicare coverage can be a challenge. Here's what you need to know about this program and how it applies to screenings for early detection of cancer.

Do All Providers Accept Medicare?

• Participating doctors "accept assignments," meaning they consider the amount received from Medicare along with your co-pay and deductible as payment in full, resulting in fewer out-of-pocket expenses.

• Non-participating doctors don't always accept Medicare, so you have to pay out-of-pocket. Medicare will reimburse you for the portions they normally cover, but you still incur sizable expenses for the difference.

• Opt-out doctors don't participate in Medicare at all, making you fully responsible for all charges

Medicare Coverage for Cancer Screening

• Annual mammograms are covered for women aged 40 and older, while clinical breast exams (CBE) are covered every two years for women at average risk for breast cancer and once a year for those at high risk.

• Women at average risk for cervical cancer are covered for a ap test and pelvic exam every two years, while women at high risk are covered annually.

• Colorectal screening is covered for people 50 and over based on risk factors and date of last test.

• For prostate screening, men over age 50 are covered 100 percent for an annual PSA blood test and 80 percent for a digital rectal exam (DRE).

Lung cancer screening is covered once a year if you are between 55 and 77 and have a qualifying history of smoking.

State-of-the-Art Cancer Treatment at Issels®

Our personalized cancer treatment programs have helped many of our patients achieve long-term remission. Visit our website for more information today.

Medicare and Early Cancer Detection – What to Know

Read more interesting articles on the "Issels Cancer Immunotherapy" news/blog posted every Tuesday and Thursday. Check It Out Now »

Does the High Cost of Immunotherapy Mean You Won't Get Treatment?

Calculated for the average, 165-pound American patient, some immunotherapy medications would cost $1,009,944 per year for 26 doses. With a 20% Medicare copay, that's a whopping $201,988 out-of-pocket for a single year of treatment! This stark reality is hoped to lead to drastic changes in melanoma treatment, as many patients cannot afford medical insurance, least of all these copays and therapies.

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Be In The Know: American Cancer Society's Cancer Screening Guidelines

Everyone should know some basic facts when it comes to cancer screening. No matter your age or whether you display zero symptoms of illness, you may be in need of a screening test. If you are wondering whether you should get tested or curious about whether your loved ones need to go in for screening soon, it's always a good time to review the cancer screening guidelines from the American Cancer Society.

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Videos – What Do Patients Say About Their Experience?

Watch videos of patients who share their own experiences at the Issels clinics with you. Listen to their stories and cancer journeys.

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