Pap smears after LEEP treatment, no insurance.

So I had CIN II at the time of my LEEP, which was earlier this week. Hoping the results come back saying it's cleared in a few weeks.

My problem is that I don't have health insurance. I was super lucky for the colposcopy & LEEP procedure, as a nearby branch of my Dr.'s office was doing clinics for these procedures so they were extremely cheap.

Assuming there isn't a persistant problem here, I understand that I'll need frequent pap smears to ensure it's not coming back. Without health insurance, my initial pap smear that discovered this problem earlier in the year, cost me $450. Then another $80 to come back in to be given my results. I cannot afford this 3-4 times a year. It seems pretty ridiculous. I remember years ago, I went to the county health department and got my yearly paps and birth control for fairly cheap. Would they allow me to go in 3-4 times a year for my follow up paps, I wonder? And this is going to sound bad, or judgmental, but a part of my mind worries about the quality of care there. It's like assembly line pap smears there. But this is important, right?

Any way, surely I can't be the only one in this boat. Thoughts?

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There are many states that offer Medicaid to those with cervical or breat disease even if you make more than the Medicaid amount.

Now I am not sure if it is only cancer or pre-cancer- it seems that many many people keep falling through the cracks in this "best medical system in the world."

Please do stay on top of the problem!! Go to the Dept of Social Services and see if they can help- if you can get special care.

If that does not work, do you belong to a church? Our church paid for a man in our church's operation so he would not have to have a colostomy- $20,000!! They docs decided that at 21 he could live with a bag the rest of this life. He could not live that way and our church agreed.

Those are 2 ideas---if I can think of anymore I wll post. This makes me really mad to be honest. No one should be in such a situation!

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Given that you have already been diagnosed with HPV resulting in CIN2 yes, you certainly do have to continue with follow-up. Planned Parenthood typically will provide services and if because of your diagnosis it requires multiple paps per year this is what they will do.

Of course you would need to make some calls to find out. The suggestion about state Medicaid or church are also good ones. What is ridiculous is to be paying $450 for a pap smear. Was there more done than this, a colposcopy perhaps that would account for this outrageous charge.

Another thing is, have you discussed your financial situation with your doctor's office. Many times if you simply let them know they can work with you or put you in touch with various organizations that assist in these types of circumstances.

There are also organizations such as Tamika and Friends which provide financial assistance in some form. Unfortunately you are going to have to put the time in and do some research until you can find a way to obtain the services you need. Here is also a link to obtaining free paps:

http://www.womenshealth.gov/faq/pap-test.cfm#pap17

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No, it was a routine pap smear. She even said she'd "take off all the extras" since she saw I didn't have insurance. Then we get the bill and it was $450, I'm guessing office fees, sample fees, preparation and lab fees.

What I was annoyed about is that they refused to go over the results over the phone with me. They said I needed to come back in to be told, like I didn't have a choice. But then they charged me $80 for it. I would rather have saved the money and hear it over the phone than sit there and be told what I already knew.

I knew immediately that something was up and that I was going to be told I had HPV because that's pretty much the only reason for abnormal paps.

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I understand your frustration. I don't have insurance either and had to cancel my scheduled LEEP because we couldn't afford it. I have since gotten in touch with a couple of places around that will set up payment arrangements and things like that.

I don't know how old you are or where you live but the BCCP (breast and cervical cancer program) will usually help pay in situations like yours. I know in Indiana, they don't have the funds to help anyone under the age of 35, but that may be different with a different state.

I would also look into trying to find a gyno that will let you set up payment arrangements. It takes a lot of patience and research, but it's worth it if you can find one. I wish you the very best of luck and hope that you can find some assistance. You are definitely not alone in your struggle without insurance. Keep us posted!

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Check in your area if there are clinics that run on a sliding scale. Thank God, that was what was available for me. I would simply not have been able to afford my treatments otherwise. I had the pap, colposcopy, and Leep done just within the last 2 months. I do understand your concern about "assembly line" paps...I felt that way too....

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Don't worry too much about the assembly line paps. I was having so many issues and my regular doctors and GYNs were not figuring it out, I was at a point where I could no longer afford my insurance to go to these doctors that were failing me anyway. I went to a Human Recources Family Planning clinic. Where they do those assembly line paps. Guess who figured out I had cancer? The sliding scale clinic that never bothered to collect the fees because I couldn't even afford those. As soon as cancerous cells were discovered the wonderful doctor there put me through to all the right chanels and even helped me get onto a program to pay for all my treatments. This place was also able to do other services, so research different places. Those low income clinics need some credit.......sometimes they have more experience than you realize.

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I understand that they want to tell you abnormal results in person, but I simply would have insisted on speaking with the doctor, whom you said was already aware you had no insurance, and tell her you couldn't afford the $450 and you can't afford another office visit fee. Sometimes we let ourselves get intimidated and pushed around. If you can't afford it, however embarassing or humiliating it may be (been there done that) you just have to speak up.

I have insurance but in some instances haven't been able to afford the $50 specialist co-pay and they've refused to see me. It's a shame that one's value as a human being all comes down to money.

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Oh, and just to add--I am 25 years old and have no children.

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sorry to hear what you are going thru. but please keep up with your exams, even if it is at a community clinic, they can offer you more resources than private office will give you. here is some info i have posted on cafemom, hope it helps.

For more information on Pap tests, call womenshealth.gov at 1-800-994-9662 or contact the following organizations:



Cancer Information Service, NCI, NIH, HHS
Phone Number: (800) 422-6237
Internet Address: http://cis.nci.nih.gov/



American College of Obstetricians and Gynecologists (ACOG) Resource Center
Phone Number: (800) 762-2264
Internet Address: http://www.acog.org/



American Cancer Society
Phone Number: (800) 227-2345
Internet Address: http://www.cancer.org



National Cervical Cancer Coalition (NCCC)
Phone Number: (800) 685-5531
Internet Address: http://www.nccc-online.org/



Planned Parenthood Federation of America
Phone Number: (800) 230-7526
Internet Address: http://www.ppfa.org



National Breast and Cervical Cancer Early Detection Program, CDC
Phone Number: (800) 232-4636
Internet Address: http://www.cdc.gov/cancer/nbccedp/



North Carolina



Breast and Cervical Cancer Control Program
1 (800) 4-CANCER (in state)
1 (919) 715-0111 (outside of state)

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I had no health insurance and went to my local health department. Planned Parenthood and local Health Departments work together all over the country in helping women of all ages to prevent and treat breast and cervical cancer. The department of human services/social services wouldn't look at me, but the health department did. They didn't care about my income, but only the fact that I needed a colposcopy. They set me up for a mammogram and with a gyno for the colposcopy. When it was determined I needed a hysterectomy they helped me with the funding for that too. When I found out I had cancer they set me up with the Breast and Cervical Cancer Prevention and Treatment Fund.

I have had to pay for some of my services, but nothing compared to what I would have.

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