Your health insurance company is trying to get the most bang for the buck in terms of monies it receives from policy holders and monies it pays out for all immunizations, medical tests, x-rays, scans, procedures, office visits, hospitalizations, etc.
A PET scan costs from $3000 to $6000 dollars. That's a huge chunk of money for the benefit of a single patient (which is not necessarily wrong, of course). Used to detect the spread of cancer, it's very probably something which would need to be repeated periodically.
The insurance company has very probably studied the statistics for whether the benefits gained from such tests justify its expense--and their not paying for hundreds or thousands of other health services for their policyholders. One PET scan for Patient X, or 600 pap smears, or 1,000 immunizations?
Are you entitled to any and every test because you carry health insurance? No. If you were, the premiums for all of us would be so high only the wealthy could afford it. Are you entitled to petition your insurer to cover a test they have previously refused to cover, with data to suggest its cost is worthwhile and could save a life? Sure.
Best of luck. Be well.
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