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  FAQ (PET and Insurance Coverage)

Q:

 Is PET safe?

A:

Absolutely, the dose of radioactivity is very low and is comparable to other nuclear medicine scans and less than a CT. For precautionary measures, we don't recommend PET for pregnant or nursing women.
 
 
   

Q: Are there any side effects?
A: No. You should be fine during and after the scan.
 
Q: Does my doctor have to refer me in order to be covered?
A: Yes, typically you will need to get your physician to refer you for a PET in order to be covered by insurance.
 
 
Q: Will Medicare reimburse my PET scan?
A: Yes. Medicare will cover PET scans for pulmonary, heart,  breast, lymphoma, head & neck, colon, as well as other types of cancer.
 
 
Q: What if I have insurance coverage by my employer?
A: Coverage will depend on your insurance plan, but generally most insurance companies cover PET.
 
 
Q: What if my insurance does not cover the PET Scan?
A: You can appeal the insurance carrier's decision not to cover your PET or you can pay for the scan yourself.
 
 
Q: Can I pay for my PET scan out of pocket?
A: Yes. We accept any major credit card, personal check, and cash. You will receive two bills, one for the hospital fees, and the other for the physician's fees.
 
 
Q: What if I have Medicaid?
A: Coverage will need to be worked out prior to your PET scan.
 
Q: I heard that I can use a PET scan in place of a mammography. Is this true?
A: No. the two have totally different purposes. A mammography is used to detect suspicious masses, while a PET scan determines if and where a breast cancer has spread.
 
 
 
Q:

What if my doctor doesn’t know about PET?

A: Have your doctor call our PET Center at 547-7077 and speak to one of our nuclear medicine physicians or radiologists.
 
 

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