<p>I think dstark’s question was whether Seattle Cancer Care Alliance can’t be used instead of Sloan. Implied - is it not good enough?</p>
<p>Are you saying it is not in the network for Washington insurances?</p>
<p>Is there an actual list for each state that gives the hospitals for each specific tier plan, by insurance company? </p>
<p>Sorry if I missed that answer in this thread.</p>
<p>Oh, okay. I’m not sure, texaspg…the article said it wasn’t, but maybe that isn’t true. I’ll have to ask her, I’m sure she has a very strong opinion one way or another.</p>
<p>"Is there an actual list for each state that gives the hospitals for each specific tier plan, by insurance company? "</p>
<p>I don’t know if there is a way to do it in healthsherpa or whatever that site is that bunch of kids designed. All I have seen thus far is people playing with their available insurances and noticing some of their regular hospitals/doctors missing from plans available to them.</p>
<p>So someone in NYcity who played with their avaialable plans should be able to say if the hospital is in or not listed.</p>
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<p>I think thats being a little naive. </p>
<p>Insurance Companies are constantly being called to the White House. And there is the Obamacare promise that it will lower premiums by up to $2,500 for a typical family per year. The pressure on the insurance companies is to control costs in their programs in return for risk rebates. </p>
<p>The way companies are controlling costs and risk is by intentionally narrowing networks. That was well known to HHS.</p>
<p>That is what I thought, texaspg. </p>
<p>Thanks.</p>
<p>" I’m sure she has a very strong opinion one way or another."</p>
<p>When looking for facts, sounds like your friend is the wrong person to ask. ;)</p>
<p>I have a close personal friend (whom I worked with for several years to get on Medicaid) who is currently being treated for liver cancer by the Seattle Cancer Care Alliance (and will soon receive a liver transplant.) It is fully covered, as it is for those who are receiving Medicaid under the ACA expansion. In addition, UW Physicians is part of the Seattle Cancer Care Alliance, and I believe all plans offered under the ACA include UW Physicians in their network (and hence SCCA).</p>
<p>mini - Is your friend East Asian with Hep B by any chance?</p>
<p>No! 
White biker with hep C, originally from Arkansas.</p>
<p>Both my kids went through the youth leadership programs at Asian Liver Center in Stanford where the advocacy issue is to get Asians checked for Hep B because it leads to liver cancer. Apparently the program was started by a liver surgeon who got tired of operating on people who never knew they were infected and could have gotten treatment before it became liver cancer.</p>
<p><a href=“http://liver.stanford.edu/[/url]”>http://liver.stanford.edu/</a></p>
<p>I guess all these really sick people should just move to Maryland so they can go to Johns Hopkins and The University of Maryland Hospitals. </p>
<p>I went to the Washington exchange site and put in my age and a Washington state zip code and looked at policies. You can search hospitals and doctors on the site. The Seattle Cancer Care Alliance is listed as being in network.</p>
<p>BD - Can you get us that contract now? Minimum 40 hours at 100$ an hour?</p>
<p>Question: do any of you know what happens if someone covered under their parents’ plan through age 26 ages out during cancer treatment? </p>
<p>I have a friend being treated for a brain tumor at Sloan. Fortunately, her last chemo cycle will end several months before she turns 27, so she should at least get through the worst of it before this even becomes an issue, but I was wondering what her options would have been otherwise. </p>
<p>Her experience has also brought home to me the importance of having good networks. When she was first diagnosed last March, the hospital she first consulted said that she wasn’t eligible for surgery; they would have treated her with chemo and radiation alone, in which case her chances at survival would have been very slim. She ultimately found a doctor at Sloan who is one of the few surgeons in the country who performs the operation she needed, and she now, thank G-d, has a very good chance at a full and lasting recovery. </p>
<p>There’s a pretty good chance I’ll be taking advantage of the exchanges in the next few years, and so while I’m grateful at the prospect of affordable insurance to get me through what may be some lean years, I’m also worried about the quality of care.</p>
<p>Texaspg, :).</p>
<p>Apprenticeprof, best wishes to your friend. I am glad she was able to find a surgeon.</p>
<p>Thanks, dstark. I really do think that even though we may intellectually know that disease can strike anyone at any time, a lot of people in my age bracket really don’t think about it as a real possibility until we are forced to.</p>
<p><a href=“Readers Ask About Subsidies and Other Health Care Law Provisions”>Readers Ask About Subsidies and Other Health Care Law Provisions;
<p>Apprenticeprof…I think your answer is there under parents…</p>
<p>My daughter came up with a brain tumor this year. She is 27. She is doing well. Hopefully, the tumor is gone. She had surgery. Good thing she had great insurance.
One of her teammates on her soccer team also came down with a brain tumor. What are the odds on that?</p>
<p>I think you are wise.</p>
<p>Wow, dstark. I’m so glad your daughter is doing well, and wish her all the best. All of this obviously hits VERY close to home for your family. </p>
<p>The link you provided, in addition to talking about what happens when you age out, also seems to address the coverage gap that romanigypsyeyes was talking about earlier. </p>
<p>I also want to take this opportunity to thank people who have contributed to this thread, which I’ve found very useful. If nothing else, this whole conversation has made me much more aware of some of the issues I need to consider in the coming years. I can’t add much, but I’ve been following the discussion closely.</p>
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<p>Yes, the plans I’ve seen in Florida all pay 50% out of network, but the kicker is that the deductibles and OOP maximums are MUCH higher out of network. For example, there’s a FloridaBlue silver plan with in-network deductible of $5000 but out of network it jumps to $10,000. And the in-network OOP max is $6350, while the out of network max jumps to $12,800. A Cigna silver plan with in-network deductible of $5000 becomes $12,500 out of network, while the OOP max jumps from $5000 to $25,000 when you move out of network.</p>
<p>“One of her teammates on her soccer team also came down with a brain tumor. What are the odds on that?”</p>
<p>It might not be a coincidence. Were they teammates an younger age or in college?</p>
<p>Did they do a lot of head shots on their team?</p>