Listen to the Cancer.Net Podcast: Seeking a Second Opinion, adapted from this content.
Cancer can be a confusing and frightening diagnosis, and it is hard to make decisions about possible treatment. Because cancer today is more often found at an early stage, and because treatments are continually improving, it may be valuable to seek the knowledge and advice of more than one doctor. This is called a second opinion. A second opinion is helpful when a doctor suspects or diagnoses cancer, or recommends a specific treatment plan.
Asking for a second opinion is common practice. Many people request a second opinion and some insurance providers require one in order for services to be covered. In all cases, the more knowledge you have about a particular diagnosis and the treatment options available, the more comfortable you will be regarding the health-care decisions you will be asked to make.
A second opinion after diagnosis
A second opinion after the diagnosis can provide a great deal of information.
- Confirmation that cancer is present and more detail on the type of cancer involved
- An opportunity for earlier treatment, if cancer is found where it was suspected, but not originally diagnosed
- Evidence that a disease other than cancer is present, preventing unnecessary treatment
A second opinion before treatment
Seeking a second opinion before beginning treatment can also provide a great deal of information.
- More information on the type of cancer, especially if the cancer is rare and knowledge is limited about the particular cancer or treatment
- Access to recognized experts and specialists (such as radiologists or surgeons), especially at a major cancer center. Find a local cancer center or cooperative group.
- Increased access to potentially promising new treatments not yet available to the public through participation in clinical trials, especially if the doctor providing a second opinion is affiliated with a major cancer center
Paying for a second opinion
Most insurance companies and health maintenance organizations (HMOs) pay for a second opinion when cancer is suspected or diagnosed. However, it's recommended that you inquire about payment before seeking a second opinion. Be sure to also ask if patients are required to select from a specific group of doctors when seeking a second opinion. Some insurers even require a second opinion before they will pay for cancer treatment.
Finding a doctor for a second opinion
Patients should let their doctors know they are seeking a second opinion. Most doctors fully understand the value of a second opinion and are not offended when patients seek one. They may even be able to suggest another doctor. If you need an oncologist in your area to consult for a second opinion, you can search the Find an Oncologist database, which includes ASCO members in the United States and abroad who have made their contact information public.
In some cases, seeking a second opinion from a specialist is very helpful, as there are many different types of oncologists. Possible sources for finding a doctor are:
Once a person locates a source for a second opinion, ask about the doctor's area of specialty and credentials, such as board certification, training, and experience, and bring all relevant medical records, including test results, x-rays, and any related materials to the appointment. Often, the doctor providing a second opinion will request the results of any tests or procedures you have already had performed, eliminating much of the need for repeat testing. It may also help to bring a notebook to the appointment to write down the recommendations provided.
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