August 1st marked World Lung Cancer Day, a reminder that cancer continues to impact millions of lives. Although cancer is a serious diagnosis, understanding your care options and how to use your health insurance benefits can make a meaningful difference in managing the arduous journey ahead.

Understand Your Health Insurance:

  • Review your Blue Shield of California health plan for details about cancer care coverage, including any exclusions or requirements.
  • Prior Authorization: Treatments such as chemotherapy, radiation, or surgery may require prior authorization, so it's essential to confirm this early with both your physician and your carrier.
  • In-Network Providers: Using in-network providers helps reduce out-of-pocket costs. Visit the Blue Shield member portal or call customer service (855.256.9404) to review your benefits, check provider directories, and confirm what services are covered.

Tips for Advocating for Your Care

  • Keep detailed records of communications, medical bills, and insurance decisions, including any denied claims.
  • Work with your doctor to explain the medical necessity of specific treatments to your insurance provider.
  • Ask for a case manager. Blue Shield can assign a case manager to guide you through treatment and help coordinate your care and benefits. This includes mental health support services, home care, palliative care programs, second opinion referrals, and information on clinical trials.

Helpful Resources:

Many nonprofit patient advocacy organizations can help with insurance appeals, financial aid, and understanding your rights as a patient.

You are your best advocate. Don't hesitate to ask questions, seek second opinions, or request support. Persistence matters. You deserve clear answers, comprehensive care, and compassionate support every step of the way.

If you'd like to learn more, please contact me at:

John Vasquez
Director of Client Advocacy
jvasquez@venbrook.com 
858.764.7403