Health Insurance

Most private insurance companies cover the same indications for PET scans as Medicare covers. Private insurance companies may cover additional indications. In either case, it is prudent to check with your insurance company prior to having a PET scan.

The cost for the PET scan has three components: (1) the FDG radiopharmaceutical, (2) the actual scan, and (3) the professional physician who reads/interprets the scan. checkmark checkmark

Most insurance companies require pre-authorization for a PET scan. Physicians routinely provide clinical information to the insurance company to obtain the pre-authorization. Many coverage policies are local, so it is important to determine the coverage policies from the major payers in your area. checkmark checkmark

If your private insurance does not cover PET and you are not a candidate for Medicare, you may want to self-fund your PET scan. Please call us for information about payment arrangements.