Sunday, August 28, 2016

The Cost of Cancer, updated

It has been one year since my post-surgery pain- & insomnia-induced rant about health insurance.  I continue to tabulate all my cancer-related expenses; it's been a good six months since my last financial update.  Since then, the Neulasta billing problem was remedied (finally), I finished chemo, I had radiation and a scan and a procedure, but I haven't seen that many benefit statements.  I haven't seen anything related to the radiation, and still only saw the one set of charges last fall that appeared to be for chemotherapy.  I won't pretend to understand how any of it works.

In support of continued transparency, here are the numbers as of the last EOB I received, as of 8/19/16:

Chemotherapy                  6,645.22
Chemotherapy-related  126,589.98 (Neulasta)
Clinic/Consultation          1,076.00
Emergency Room            1,949.00
Inpatient                           6,687.34
Labs/Scans                    31,457.00
Medical Supplies             2,059.57
Surgery                          16,516.50

TOTAL                        193,159.53

And an updated out-of-pocket breakdown:

Clothing/supplies          169.82
Copays- appts               275.00
Copays- scrips                41.47
Food                             418.57
Parking                         620.00

TOTAL OOP             1,524.86

Wicked-sobering grand total:     194,684.39

Notice that the Neulasta is a solid 65% of the grand total.  I found that especially striking in light of the recent controversy surrounding the Epipen price hikeI'll bet a significant percentage of patients undergoing any chemotherapy regimen end up needing Neulasta to support their immune systems.  I'll bet a not significant percentage of those patients have the miraculous health insurance that I do.  It boggles the mind.

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