Wellness

[Q4u]

I was diagnosed with Pulmonary Sarcoidosis in my late 30's and had a yearly chest X-Ray for about 20 years.  My case of Sarcoidosis remissed on its own which I was told was very rare.  I was very lucky. 

[Jo1313]

Had a chest x-ray..during a hospital stay..They saw "something" on my kidney..That something was stage 3 kidney cancer..The kidney was removed..I am now 2 yrs. cancer free.

[chrystaltree]

Insurers don't pay for screening chest x-rays. They haven't paid for them in many years.  If a person has symptoms and the doctor orders a chest xray, that is NOT a screening xray,  it's diagnostic.  Same with full body CT scans, no insurer pays for them unless there is documented medical necessity.  Doctors don't take orders from patients when it comes to medical tests and imaging, everything must follow established clinical criteria.  But you can find a boutique or concierge practice that bills patient's directly and doesn't participate or bill any insurer.  

[chrystaltree]

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@RedTop wrote:

My husband receives a screening chest X-ray yearly at the VA due to being a smoker.   This has been a yearly requirement for at least 15+ years.

 That is not screening.  He's a long time smoker and there is a Icd 10 diagnosis code for that.  

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[chrystaltree]

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@Q4u wrote:

I was diagnosed with Pulmonary Sarcoidosis in my late 30's and had a yearly chest X-Ray for about 20 years.  My case of Sarcoidosis remissed on its own which I was told was very rare.  I was very lucky.   

Once again, that was NOT screening.  You were being followed up for a diagnosis of "history of Sarcoidosis".  It has a diagnosis code.  

You people need to stop, you giving me a headache and hubby the RN is laughing.  

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[hckynutjohn]

@granddi 

In the last 2 years I have lost count of the number of chest Xrays and CT Scans I have had. Most were screening for broken ribs, and my punctured left lung.

Most recent doppler scan(1 week ago) was to see if I had a blood clot in my left arm, I do!  I consider all the Xrays and other of the many types of scans I have had, a Screening. 

Rules? Never heard any of my doctors say: "I better check the rules" first!

hckynut  🇺🇸

[Snooky60]

@catter70   🤞🏻🤞🏻🤞🏻🤞🏻💗

[BalletBabe]

@granddi   No Dr. is going to order a chest x-ray unless you are having a problem.  They can't just order tests that a patient wants unless you are willing to pay for it.  You could call your Ins. Company and ask.  My Dr. was terrible at ordering things and Ins. Co refused to pay.   I am no longer with the idiot.    Also Dr.'s are sometimes dumb, and they think it will be covered, and then it is not.  

This idiot when giving me a new RX was about 200.00 a month, I refused to take it.  When I told him the price,  under his breath He said no it don't.  He don't realize I have really good hearing, I said call the pharmacy then.  He looked shocked because he thought I would not hear him.  LOL== Surprise! That is when I walked out.  

[CelticCrafter]

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@granddi wrote:

Has anyone ever ask for or been recommended to receive a screening chest Xray?

I know a second person who has received a delayed lung cancer diagnosis. It seems that a screening Xray would have value if the goal is early detection. 

I understand about un-necessary radiation and insurance rules. Is this a test that is doable and valuable but not offered to the masses. It seems more and more that health care IS reationed. It is rationed by insured vs uninsured. Rationed by age. Rationed by which insurance you have.   I was talking to my doc about the the calcium score. Her remark was "insurance doesn't pay." Me: I don't care. Doc: "that's executive medicine" Me: I'm an executive. Make the appointment. "

On the same topic, has anyone had a private pay full body CT scan? Lots of advertising around the Dallas area. 

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What are they charging for that?  

Before any agreements (?) are worked out between the hospital and Medicare the original cost of Chest CT Scan with contrast and Abdomen/Pelvis CT Scan with contrast is over $7,000.

[Q4u]

I was diagnosed with Pulmonary Sarcoidosis in my late 30's and had a yearly chest X-Ray for about 20 years.  My case of Sarcoidosis remissed on its own which I was told was very rare.  I was very lucky.   

Once again, that was NOT screening.  You were being followed up for a diagnosis of "history of Sarcoidosis".  It has a diagnosis code.  

You people need to stop, you giving me a headache and hubby the RN is laughing.  

I never said it was a "screening".  I had a full diagnosis through Kaiser and the X-Rays I had each year were to make sure my remission was still in a remission.  My pulmonary doctor fully expected it to return but it didn't.  Once again, I never said it was a "screening" but thought it might be interesting because of the rarity.  I should have stated it was a follow up so no one would assume that's what I meant.  For that I appologize.....