If your company is self-funded then you can have proton therapy coverage added to your policy. Research shows that proton therapy can actually result in decreased overall medical costs for cancer patients.

1. Proton Coverage Can Be Added At a Reduction in
Overall Costs to the Employer
1. Family size based on U.S. Census 2010 average
2. American Cancer Society US Average
3. American Society for Radiation Oncology Estimates 60% of all cancer patients will receive radiation therapy
Provision Healthcare added proton therapy to its healthcare coverage
at no increase in costs to Provision Healthcare or its employees.
Employees Covered 100 250 500 1,000 2,500 5,000 10,000 20,000
Additional Family members Covered 107 267.5 535 1,070 2,675 5,350 10,700 21,400
Covered Lives 207 517.5 1035 2070 5175 10350 20700 41400
US Cancer Incidence Rate 0.50% 0.50% 0.50% 0.50% 0.50% 0.50% 0.50% 0.50%
% Radiation Therapy 60% 60% 60% 60% 60% 60% 60% 60%
% Proton Therapy 20% 20% 20% 20% 20% 20% 20% 20%
Covered Lives Needing Proton Therapy Per Year 0.21 0.52 1.04 2.07 5.18 10.35 20.70 41.40
Average Proton Treatment Cost Per Treated Patient 58,750$ 58,750$ 58,750$ 58,750$ 58,750$ 58,750$ 58,750$ 58,750$
Proton Treatment Cost Per Year Per Treated Patients 12,161$ 30,403$ 60,806$ 121,613$ 304,031$ 608,063$ 1,216,125$ 2,432,250$
Proton Treatment Cost Per Covered Life Per Year 58.75$ 58.75$ 58.75$ 58.75$ 58.75$ 58.75$ 58.75$ 58.75$
Average IMRT Treatment Cost Per Treated Patient 44,682$ 44,683$ 44,684$ 44,684$ 44,683$ 44,684$ 44,684$ 44,684$
IMRT Treatment Cost Per Year Per Treated Patient 9,249$ 23,123$ 46,248$ 92,496$ 231,235$ 462,479$ 924,959$ 1,849,918$
IMRT Treatment Cost Per Covered Life Per Year 44.68$ 44.68$ 44.68$ 44.68$ 44.68$ 44.68$ 44.68$ 44.68$
Average Ancillary Costs of IMRT Per Treated Patient 16,456$ 16,456$ 16,456$ 16,456$ 16,456$ 16,456$ 16,456$ 16,456$
Total Average IMRT Costs Per Treated Patient 61,138$ 61,139$ 61,140$ 61,140$ 61,139$ 61,140$ 61,140$ 61,140$
IMRT Total Cost Per Treated Patient Per Year 12,656$ 31,639$ 63,280$ 126,560$ 316,394$ 632,798$ 1,265,597$ 2,531,193$
IMRT Total Cost Per Treated Patient Per Year 61.14$ 61.14$ 61.14$ 61.14$ 61.14$ 61.14$ 61.14$ 61.14$
Total Annual Savings For Proton Therapy 494$ 1,236$ 2,474$ 4,947$ 12,363$ 24,736$ 49,472$ 98,943$
Annual Savings For Proton Therapy Per Covered Life 2.39$ 2.39$ 2.39$ 2.39$ 2.39$ 2.39$ 2.39$ 2.39$
Proton Benefit Cost

2. Overall Costs for Proton Therapy Are Less than IMRT
Average Cost
If Patient Treated by:
IMRT
(Reimbursed)
Proton Therapy
Average Direct Treatment Cost $ 44,684 $58,750
Average Treatment Cost
Per Covered Life Per Year
$44.68 $58.75
Recurrence Cost Increase $ 5,913 -
Side Effects Cost Increase $ 3,666 -
Absenteeism Cost Increase $ 4,808 -
Productivity Loss Increase $ 2,069 -
Total Overall Costs $ 61,140 $ 58,750
Average Total Costs
Per Covered Life Per Year
$ 61.14 $ 58.75