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Making Treatment Decisions

After a cancer diagnosis, patients and their families have many decisions to make in a short time. Where do I go for treatment? What costs will be covered by insurance? What about travel expenses? As a cancer patient, you are urged to take an active role in your care, and make treatment decisions that are best for you and your loved ones.

Consider the following issues before choosing a cancer treatment.

Second Opinion

If you have been diagnosed with cancer by your primary care physician, it is wise to get a second opinion from a cancer specialist. In fact, many health insurance plans require a second opinion before covering some treatment costs. If the specialist agrees with the first diagnosis, they can let you know the available treatment options for your cancer. 

Second opinion pathology services at MD Anderson

Prognosis

A prognosis is a cancer specialist's best estimate of how your disease will respond to treatment, and what your life expectancy may be. Some patients whose cancer is discovered in the early stages may only need minor treatment. Others with advanced cancer may have few treatment options, if any, or may have an aggressive cancer with a low survival rate.

Patients who receive the worst news may proceed with treatment anyway; others may refuse treatment. Whatever decision you make, consider the wishes of loved ones, and talk it over with your cancer care team.

Cost/Insurance Coverage

Because cancer treatment involves sophisticated techniques, machinery and medicine, it can be very expensive. Some treatments require a hospital stay of one night or more, which adds on to the overall cost. Health insurance and managed care plans rarely cover all the costs of cancer treatment, so it’s important to find out what is and is not covered by your policy. Uncovered expenses are the patient’s responsibility. Read more about insurance and billing

Travel

Cancer patients travel from all over the world to be treated at MD Anderson, and many bring family members, sometimes for an extended stay. Travel and lodging costs can add up quickly, and must be considered along with treatment expenses.

MD Anderson’s Patient Travel Service offers discounts with some airlines, hotels and ground transportation, and a full-service travel agency to handle patient needs. Call 1-888-848-9992 for information. 

MD Anderson also has several treatment locations in the greater Houston area that may be more convenient.

Legal Issues

It is wise to prepare legal documents that spell out how your cancer treatments and personal affairs should be handled if you become unable to make decisions. Advance directives include documents like living wills, medical power of attorney, and do-not-resuscitate orders. MD Anderson offers easy online forms for medical power of attorney and living wills.

Clinical Trials

Some newly-diagnosed patients may be eligible to join a clinical trial. These carefully controlled studies test new drugs or treatments that may be as good or better than standard care. Clinical trials have provided new hope for some people whose cancer has not responded to traditional treatments. MD Anderson has hundreds of clinical trials underway at any given time. 

Moving Forward

If you decide to proceed with cancer treatment, then it's time to choose an oncologist (cancer doctor) and a hospital where the treatment will be carried out. Why choose MD Anderson?

MD Anderson accepts both self-referrals from prospective patients and physician referrals.

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© 2014 The University of Texas MD Anderson Cancer Center