In the News: Male Breast Cancer Patient Receives Insurance Help

Posted By on September 19th, 2011 at 2:06 pm | 527 comments.

A South Carolina man will receive treatment for breast cancer under Medicaid’s Breast and Cervical Cancer Prevention and Treatment Program after originally being denied coverage because of his gender. In fact, the South Carolina Medicaid agency ruled that all uninsured or underinsured men diagnosed with breast cancer who meet the program eligibility requirements should now receive treatment.

The South Carolina ruling means that the state will be referring Raymond Johnson’s case to the federal Medicaid program. If the federal program denies the claim, South Carolina will likely appeal the denial. If the appeal fails, South Carolina will cover the cost of Mr. Johnson’s treatment on its own. South Carolina hopes that the U.S. Medicare and Medicaid agency will overturn the rule barring males from receiving coverage through the program, paving the way for all uninsured and underinsured men to receive coverage for breast cancer treatment nationwide.  Click here to see how Pennsylvania has adopted the BCCPT program!

While breast cancer incidence among men occurs 100 times less than in women, there are still over 2,000 men diagnosed each year.

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