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INSURANCE ISSUES
Like any medical costs, policies vary at different locations as
well as based upon the individual health insurance program in which you are
involved. In general, most clinical trials follow standard care
practices, meaning that if costs of standard treatment is covered by
your insurance, then in most cases trial costs will be similarly
covered. However, trials can carry additional costs and some policies
cover part or all of the cost of care in a trial, some make decisions
on a case-by-case basis, and some never or rarely cover clinical study
costs.
In addition, some plans may specify that trials be sponsored by a
specified organization, be judged “medically necessary” by the health
plan, not be significantly more expensive than treatments the health
plan considers standard, or focus on types of cancer for which no
standard treatments are available.
Obviously, each case is unique; therefore, we urge you to contact
your physician's insurance department with your specific questions.
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