What Patients are Eligible for the NOPR?
Medicare beneficiaries, including those with conventional Medicare coverage and those with Medicare HMO coverage, who are referred for PET for essentially all oncologic indications that are not currently reimbursable under Medicare are eligible to participate in the NOPR. The Indications tables list the cancers and indications that will and will not be accepted in the Registry. Patients with insurance coverage other than Medicare, including Medicaid, are not eligible to participate in the NOPR. Patients with managed Medicare health plans, such as Medicare Advantage, are eligible for the NOPR. Medicare or a managed Medicare plan must be the primary insurance.
Medicare beneficiaries, including those with conventional Medicare coverage and those with Medicare HMO coverage, who are referred for PET for essentially all oncologic indications that are not currently reimbursable under Medicare are eligible to participate in the NOPR. The Indications tables list the cancers and indications that will and will not be accepted in the Registry. Patients with insurance coverage other than Medicare, including Medicaid, are not eligible to participate in the NOPR. Patients with managed Medicare health plans, such as Medicare Advantage, are eligible for the NOPR.
Medicare beneficiaries, including those with conventional Medicare coverage and those with Medicare HMO coverage, who are referred for FDG-PET for essentially all oncologic indications that are not currently reimbursable under Medicare are eligible to participate in the NOPR. The Indications tables list the cancers and indications that will and will not be accepted in the Registry for FDG-PET. Additionally, Medicare beneficiaries who are referred for NaF-PET for evaluation of proven or strongly suspected bone metastases are eligible to participate in the NOPR. Patients with insurance coverage other than Medicare, including Medicaid, are not eligible to participate in the NOPR. Patients with managed Medicare health plans, such as Medicare Advantage, are eligible for the NOPR (but see additional FAQs below regarding Medicare Advantage plans).
