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Insurance reimbursement for peripheral stem cell transplants

Insurance reimbursement for peripheral stem cell transplants

Question
Dear OncoLink "Ask the Experts,"
I am interested in finding any information re: insurance reimbursement for peripheral stem cell transplants. In general, what oncologic diseases are usually covered? What about coverage for "experimental" protocols? Are their general guidelines re: what will be covered as inpatient vs. outpatient?


Answer
Unfortunately there are currently no universal guidelines which define the extent of coverage which insurance providers must provide. Differences exist across all payors and vary from state to state.

We suggest that you contact your health care provider who is offering the experimental protocol to determine if they have resources, ie, social workers, financial counselors, etc., available to assist you in obtaining coverage.