Medicare covered for second PSMA scan

[billy1950]

Hi,

Is anyone familiar with Medicare coverage for second PSMA?

Medicare paid for the first one done in 2021…this would be my second one.

Thanks, Bill

[tango65]

I already had 4 in the last 18 months and they have paid for the studies.

Most places will not proceed with the studies unless they get approval from Medicare, which takes between 3 and 5 days. Medicare Advantage plans may be different. I have regular Medicare parts A and B.

[billy1950 in reply to tango65]

tango…Thanks…Same here with the insurance…plus supplemental… Interested in why you had 4?

Originally I had it done at MSK in NYC due to a BCR via biopsy and MRI…

Hoping i can find a location for a PSMA in Upstate NY…

[tango65 in reply to billy1950]

I had 4 because increasing PSA, first 2 negatives, third one oligomets, fourth one to check result of SBRT treatment of oligomets.

[turkeyjoe1 in reply to billy1950]

I had mine done in Jamestown NY UPMC same insurance.

[billy1950]

I need to see how close Jamestown is to Albany…

Thanks