Does insurance cover BCG treatment?

Excellent news! We have to watch insurance company statements Many years ago I went in for a mammogram and when the billing information came the insurance company had been billed for both the mammogram and a barium enema. I was quite positive I had not had latter procedure !

Sara Anne

Just to let you know that insurance agent did appeal it and the insurance company revised their ruling and will now pay for BCG.

You should appeal this, or have your urologist write an explanation. I DARE them to go into a pharmacy with a "prescription" and walk out with a vial of BCG. This is a treatment done in the doctor's office NOT a prescription.
Some idiot clerk misunderstood.


Sara Anne

Thank you. My insurance paid for all my mitomycin treatments and my first 3 BCG treatments but now on my recent claim they are saying that it only a prescription medication and paying next to nothing.

In the US Medicare pays for BCG treatments as do most other insurances . BCG is considered the standard of care for high-grade or recurring non-Invasive bladder cancer. I would be surprised if an insurance did not cover this . But to be sure you should check with your insurance company if this is a concern

Sara Anne

Does insurance pay for BCG treatments?