How often should a cancer patient have a PET scan? Typically, in trials, the frequency of follow‐up scans is every 6‐8 weeks or every two cycles of therapy, although this varies with tumor and treatment type.
Do insurance companies pay for PET scans? Even with insurance, PET scans can be expensive. The typical patient with health insurance will pay between 10% and 50% of the procedure. If your doctor suggests a PET scan, check with your insurance company.
How many PET scans can you have in a year? “With the CMS requirement that there be no more than three PET/CT scans covered after the first line of treatment, that’s looking at it in a depersonalized way that may be harmful to patients on an individualized basis,” Copeland says.
When is a PET scan medically necessary? FDG-PET scans are considered medically necessary for diagnosis and staging, where lesions metastatic to the brain are identified but no primary is found, and for restaging, to distinguish recurrent tumor from radiation necrosis, when general medical necessity criteria for oncologic indications (II.