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Old 10-14-2005, 01:50 PM   #2
mts
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Join Date: Sep 2005
Location: Central Florida
Posts: 503
Sounds like your employer is going through the "open enrollment" phase for employees. You might want to ensure your deductible does not go up too!

Perhaps you can call one of the doc's in the new network as well as your current doc to see if anyone else has the same Tx as you with the same ins plan. If the onc has a good billing dept; often they can figure out what their expense will be.
I don't believe the onc office can charge you differently for the Herceptin- by being in a network, they have negotiated a price for services with the carrier and you can't be charged for anything other than your deductible and "not covered" charges.

I found the customer service of my insurance to be very helpful (BC/BS of FL) and I asked for someone to become a "case manager" for me.

Anyway, during your "open enrollment" you should have representatives from your new carrier that can help you discern the best option for you. I don't trust anyone to make the decision for me. But between the two of you, the right answer should come.

My employer had the insurance cost go up too -and I work for the gov't!

By the way, I have the same Dx as you! and am on Herceptin also.
Maria
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