Is Disc Replacement Surgery Covered By Insurance? Find Out Here.
Is Disc Replacement Surgery Covered By Insurance? Did you know that discectomy surgery, also known as disc replacement surgery, may be covered by your insurance?
In fact, many insurance companies will cover this surgery if it’s medically necessary to treat your herniated disc condition.
Here’s what you need to know about whether or not your surgery will be covered, along with what factors will affect how much of the procedure you’ll have to pay out of pocket if it isn’t fully covered by your insurance plan.
Here is a break down of what we will be covering today.
What is Spinal Fusion Surgery?
Most disc replacement surgeries are performed by taking a patient’s own tissue or that of a donor and placing it within the discs.
In some cases, though, discs can’t be repaired; instead they need to be fused together with a stronger material.
This process (sometimes called “spinal fusion surgery”) fuses two or more vertebrae together to form one solid piece of bone.
The hope is that after fusing the vertebrae with strong materials like metal or other materials, they will no longer move around within your back and cause pain.
The operation works best for individuals suffering from chronic back pain caused by degenerative disc disease and not so much for patients experiencing injury-related back pain due to trauma.
Why Choose Disc Replacement Over Spinal Fusion?
Disc replacement surgery is a fantastic option to consider when facing surgery.
Unlike spinal fusion, which can often result in long-term complications and chronic pain, disc replacement is a minimally invasive procedure that allows for natural motion of your spine with few complications and excellent patient outcomes.
However, like most surgeries, disc replacement does come with risks. It’s important to do as much research on disc replacement as possible before making a decision about your treatment.
From discovering whether or not it’s covered by insurance to understanding why it’s performed over spinal fusion, check out our resources below to find out more about disc replacement surgery!
You Might Be Eligible For Free Or Reduced-Cost Spinal Surgery: While disc replacement surgery is generally not covered by health insurance, some patients may qualify for free or reduced-cost procedures.
Eligibility requirements vary depending on your situation and where you live, but typically include financial hardship or disability status.
For example, if you are uninsured and earn less than 400% of the Federal Poverty Level (FPL), you may be eligible for free care through Medicare.
Visit Healthcare Options to learn more about coverage options available to you based on income level, location, and condition.
Health Benefits of a Successful Disc Replacement Procedure
The most common type of surgery performed on individuals with degenerative disc disease is discectomy.
But what if, instead of removing a herniated disc, you could replace it altogether? Enter disc replacement surgery.
In recent years, advances in medical technology have allowed surgeons to replace an individual’s painful disc with an artificial implant that will provide relief from back pain and other symptoms.
For example, up to 85 percent of people who have lumbar disc replacement have no further pain after the procedure.
If you are interested in learning more about how a successful discectomy can help manage your chronic back pain and reduce your chances of future debilitating conditions like osteoarthritis or spinal stenosis, read on.
We’ll explore some of disc replacement surgery’s potential benefits below.
You may be surprised by just how much disc replacement surgery can improve your quality of life! Disc Replacement Benefits
1: Disc replacement helps manage pain.
Disc replacements typically last between 15 and 20 years—and sometimes even longer—which means they are a long-term solution for reducing chronic back pain.
Compared to traditional fusion surgeries, disc replacement procedures tend to be less invasive and offer greater mobility right after surgery.
This means you can recover faster and return to work sooner than patients who opt for fusion procedures. Disc Replacement Benefits
2: Disc replacement minimizes the risk of complications.
Unlike traditional fusion surgeries, disc replacements do not involve any bone grafting or removal of healthy tissue.
This reduces your risk of serious complications, such as infection and bleeding. Disc Replacement Benefits
3: Disc replacement offers improved posture.
Traditional fusion surgeries often result in a loss of flexibility due to stiffening of surrounding joints and ligaments.
Fortunately, disc replacements allow for an improved range of motion because they do not fuse adjacent vertebrae together permanently.
Instead, disc replacements act like shock absorbers; when you bend forward or twist side-to-side, these implants absorb pressure while allowing adjacent vertebrae to move freely around them.
Age Requirements for Disc Replacement Procedures
In order to be a candidate for disc replacement, patients should be over 18 years of age. However, in some cases, younger patients with smaller discs have been approved for surgery.
Talk to your doctor about undergoing imaging tests like X-rays and CT scans to find out whether or not you are eligible for surgery.
These tests can determine if your discs are large enough to support a disc replacement procedure.
Once they’ve determined that disc replacement is an option for you, they’ll go over whether or not your insurance will cover it (discussed in detail below).
If it turns out that you aren’t eligible for coverage, ask them about their payment plans and see if there is anything you can do to make things more affordable upfront.
Recovery From Disc Replacement Versus Spinal Fusion Surgeries
Disc replacement surgery is a relatively new procedure, having been approved by the FDA in 1994. Since then, studies have compared disc replacement surgery to spinal fusion surgery, and it’s clear that disc replacement can be a safe and effective alternative to spinal fusion surgery.
Ultimately, you’ll want to consider your health status and individual needs when deciding between these two procedures.
Read on for more information on how they differ and how you can decide which one is right for you.
Disc Replacement Surgery Versus Spinal Fusion Surgery Disc replacement surgery works to treat disc degeneration through a minimally invasive surgical technique.
During an operation, surgeons remove the damaged disc and replace it with an artificial disc designed specifically for your anatomy.
Disc replacements are typically made of metal alloys or polyethylene plastic, though some newer versions use ceramic materials as well.
This allows them to act like natural discs, providing cushioning while also allowing movement. In contrast, spinal fusion surgery is performed when there’s significant disc damage or instability.
In order to stabilize your spine and prevent further damage, surgeons fuse together adjacent vertebrae using bone graft material taken from other parts of your body (such as your hip).
While disc replacement is generally less risky than spinal fusion surgery—and has a lower rate of complications—it may not always be appropriate for every patient.
Cost Of A Spinal Fusion Vs. The Cost Of A Successful Disc Implant
Fusions can be quite expensive and risky. Disc replacement surgery has become increasingly popular because it is less invasive and much safer than fusion. If you are thinking about disc replacement surgery, here’s what you need to know:
- How effective is disc replacement surgery?
- Is it covered by insurance?
- What are some of its potential side effects?
- And how long does disc replacement surgery take?
Read on for answers to these questions and more. Disc replacement surgery is becoming a more popular alternative to spinal fusion.
Spinal fusions can help relieve pain caused by disc herniation or spinal stenosis, but they do come with their own risks, including further disc damage and even paralysis.
Disc replacement surgeries offer an alternative option that may not only eliminate pain but also keep patients active while providing them with a shorter recovery time and better overall health.
However, disc replacements also have their downsides, including a higher cost when compared to fusions—and whether or not they are covered by insurance depends on where you live, in addition to your specific medical coverage.
But first things first: Before getting into costs and payment options for disc replacements vs. fusions, let’s get down to basics.
What exactly is disc replacement surgery? Disc replacement surgery is a procedure used to treat degenerative disc disease (DDD), which occurs when discs between vertebrae lose water content and begin to break down over time.
This breakdown causes disc material to press against nearby nerves, causing back pain as well as other symptoms like weakness or numbness in one or both legs.
The purpose of disc replacement surgery is to replace damaged discs with artificial ones that provide cushioning between vertebrae and prevent any future compression on nerves.
Disc replacement surgery is different from disc arthroplasty, another common treatment for DDD.
During arthroplasty, surgeons remove and then replace a disc with an artificial one in a single operation; however, different types of arthroplasties are available depending on which disc(s) require treatment.
Disc replacement surgeries generally fall under two categories: total disc replacement (TDR) and partial disc replacement (PDR).
In TDR, surgeons remove all affected discs at once before replacing them with new prosthetic devices.
PDR involves removing only certain discs that are causing problems before inserting prosthetic devices to support the remaining healthy discs.
Is Disc Replacement Surgery Covered By Insurance?
Disc replacement surgery is an elective procedure, meaning it’s not a life-saving procedure or a procedure that restores function.
Depending on your policy, disc replacement surgery may or may not be covered. Some states have passed laws stating that insurers must cover disc replacement surgery under workers’ compensation; others do not and in some cases, even if workers’ comp pays for a portion of disc replacement surgery, you might need to pay out of pocket anyway.
Also, not all health insurance plans include coverage for surgeries like these. If you have questions about whether your insurance covers these types of procedures, contact your insurer.
How Much is Disc Replacement Surgery Insurance?
Much of it depends on whether or not you have private insurance, and if you’re covered for elective procedures.
In most cases, patients are able to receive some sort of coverage for their back surgery, but there is a wide variety in what types of procedures are available.
And many patients might be shocked at just how expensive disc replacement surgery is — it can cost upwards of $100,000 in some cases.
That’s one reason why so many people turn to cash-only health care like Medical Breakthroughs USA when they need help paying for their medical bills.
Problems with artificial disc replacement
Many people think disc replacement surgery is a quick fix to end their pain, but there are several problems with artificial disc replacement.
Here are some of them. If you’re considering having an artificial disc replacement, it’s important to understand these risks first.
Read on for details on how to get more information about the health risks associated with artificial disc replacement. The FDA has not approved disc replacement as safe and effective for all conditions.
If you have neck or back pain that doesn’t improve with non-surgical treatments, talk to your doctor before undergoing any type of surgical procedure.
Disc replacement surgery can cause serious complications if not performed correctly by an experienced spine surgeon.
Does medicare cover artificial disc replacement?
To receive coverage, you will have to meet certain criteria and prove that your spine condition qualifies for surgery.
In addition, Medicare only covers artificial disc replacement if all other treatment options are exhausted.
If you are interested in learning more about whether or not disc replacement surgery is covered by Medicare, contact your local doctor’s office today!
Lumbar Disc Replacement Surgery
Since there are various types of replacement surgeries available, it’s important to understand how they work and what they can do for you before deciding if an operation is right for your condition.
How much does herniated disc surgery cost with insurance?
Is it covered by your insurance? Are you paying out-of-pocket or is there a patient pay option available to you at no cost (or a reduced rate)? These questions can help better inform your decision.
Don't miss any update.
Enter your email to receive the exact Health Insurance tips i practice!