SpaceOAR Hydrogel Insurance Denial

Page Contents:

• What is SpaceOAR?
• Who Needs SpaceOAR?
• Why Do Insurance Companies Deny SpaceOAR?
• What Are Your Legal Rights to SpaceOAR?
• How Can the Law Offices of Scott Glovsky Represent Clients Who Are Denied SpaceOAR?

What is SpaceOAR?

When there is a need to help reduce the radiation dose delivered to the rectum during prostate cancer radiation treatments, SpaceOAR Hydrogel can help. The ultimate goal is to destroy the cancerous cells while preventing damage to the healthy tissues surrounding those cells. As an absorbable, injectable material, a temporary space is created between the prostate and the rectum when SpaceOAR is used during prostate cancer radiation therapy.

When SpaceOAR is not used, radiation therapy used to treat prostate cancer can result in rectal toxicity due to the close proximity between the prostate and rectum. In short, SpaceOAR Hydrogel reduces the radiation dose the rectum would otherwise receive during prostate cancer radiotherapy. A SpaceOAR hydrogel insurance denial can significantly benefit from having an experienced attorney from the Law Offices of Scott Glovsky in your corner. 

Who Needs SpaceOAR?

There is approximately a 24 percent decrease in radiation exposure when SpaceOAR is used. After protecting the patient from short and long-term radiation side effects, the gel is naturally absorbed into the body after 6 months. Prior to FDA approval, balloon implants were used which required repeat visits back to the doctor—SpaceOAR does not require repeat visits because it is absorbed by the body.

Men whose prostates are considerably enlarged as a result of prostate cancer could have up to 50 percent of the rectal area exposed to harmful radiation. In short, SpaceOAR can protect the at-risk organ of any man undergoing targeted radiation treatment for prostate cancer, considerably minimizing side effects such as:

• Sexual function damage or loss
• Urinary incontinence
• Bleeding from the rectum
• Inflammation of the rectum (proctitis)
• An inability to control bowel movements
• Frequent urination
• Adverse skin reactions

Why Do Insurance Companies Deny SpaceOAR?

A SpaceOAR Hydrogel injection costs between $5,924 and $7,185, making it largely unaffordable for those without insurance, or those with high deductibles. Even for those with health insurance, the insurance company may refuse to pay for the medication. The excuse used by the insurer may be that the gel is a preventative medication rather than a treatment. Considering the fact that SpaceOAR has the potential to prevent further medical damage for a prostate cancer patient, you can appeal the denial from your insurance company.   

What Are Your Legal Rights to SpaceOAR?

If you have been denied the right to SpaceOAR hydrogel, you may be unsure of how to appeal the decision. Or, perhaps you, with the help of your doctor, have appealed the decision but have still been denied SpaceOAR hydrogel. If so, you could significantly benefit from having attorney Scott Glovsky help you with your insurance denial. Scott understands how overwhelmed you may feel right now—after all, the company you’ve paid to protect you has now turned its back on you. 

How Can the Law Offices of Scott Glovsky Represent Clients Who Are Denied SpaceOAR?

Having a strong legal advocate in your corner can make a huge difference in the outcome of your prescription drug insurance denial. Attorney Scott Glovsky will go to battle on your behalf, helping you get the treatment you need and deserve. Don’t give up—all you need is one person who cares enough to fight for your rights. That person is Scott Glovsky. Contact the Law Offices of Scott Glovsky today.