Low grade B-Cell Non-Hodgkin Lymphoma of the colon

I am a 68-year old male who had a routine colonoscopy on July 1st. A “suspicious” section was found that could not be removed via the colonoscopy. The biopsy indicated that it was precancerous. I was given the choice of “watching it or removing it”. I decided to have it surgically removed and had a colon resection on August 31st that removed 10-inches of my colon. This biopsy was positive for low grade B-Cell Non-Hodgkin Lymphoma with Plasmacytic Differentation. My blood, urine, PET-Scan and bone marrow indicate no active lymphoma.

My oncologist recommends no further treatment unless I felt that further treatment would “make be sleep better at night”. If so, he recommended four Rituxan infusions.

After investigating whether the infusions would be covered by Medicare I found out that because I have not been previously treated with chemotherapy the Rituxan infusions would be “Off-Label” and probably not covered by Medicare or my supplementary insurance.

I would appreciate receiving any information about how others have treated this type and grade of lymphoma and the insurance coverage of using Rituxan “Off-Label”.