There are many ways to treat and manage scoliosis including but not limited to braces, physical therapy, chiropractic treatment, osteopathic treatment, casting and as a last resort, surgery. Physical therapy. Your surgery will require medications, both during the procedure itself and during the recovery period. Blood donation. It is common to have swelling in the abdomen in the first few weeks after surgery. © 2017 – 2021 Boston Orthotics & Prosthetics. The physician prescribing the correct brace, the orthotist designing and fitting the brace, and the patient adhering to the wearing schedule are all key to a successful outcome. Don’t let insurance worries steer you away from getting the best treatment available. Myth #9: Insurance covers all bracing. Does anyone know why this type of surgery not covered by most health insurance policy's/physicians. 9. Between your surgeon’s billing office and the hospital billing staff, you should be able to understand all of the costs associated with your scoliosis correction surgery well ahead of your procedure date and prepare accordingly. However, surgery is an established treatment for scoliosis, and, although it may require a lot of back-and-forth between you, your doctor, and the insurance company, ultimately your surgery should be approved if you are an appropriate candidate. It just baffling to me that such an important surgery is not covered by most insurance policy's. Medical Benefits Today, most people use the Boston brace which starts under the arm and can be covered with some type of clothing. Be sure to contact your insurance provider prior to surgery to discuss the extent of your coverage. It was bulky and came with metal bars that resulted in neck immobilization. So is your budget. This will let you concentrate on the most important task at hand – finding relief from your scoliosis symptoms! The ScoliBrace is a rigid brace, and therefore may be covered by your insurance plan. Aetna has classified the Copes brace as investigational, which means that its insurance policies do not cover its use. Boston O&P Clinic Appointments: Complete our Request An Appointment form Some braces on the market today cost far more than what typical insurance pays. In addition, most manufacturers prefer a scan to simple measurements because of the accuracy scanning provides by showing the actual physical anatomical shape.The following outlines the scanning options we can provide, with various price points, each with benefits over the other. For patients covered by Medicare, back braces could be covered by insurance. These can include: 2. Please contact your insurance company to verify your coverage or contact our office directly for a free health insurance verification estimate. The FDA approved SpineCor brace is reimbursable by many medical insurance plans. Since Boston Orthotics & Prosthetics implemented CAD/CAM scanning and modification, many patients, families, and doctors alike, have asked what we are doing different that is making the braces fit so well. Its clinical policy bulletin states: The Copes Scoliosis Brace is a custom-fitted polypropene support structure that utilizes air to attain spinal curvature correction. It is not covered by the government’s Assistive Devices Program but most private insurance policies will cover … The Charleston brace may be useful for children with scoliosis who are not compliant with a traditional Boston or Milwaukee TLSO brace or who do not respond well to TLSO braces (Roach, 2002). There are body molds in the marketplace that can get close to your specific body dimensions. Each insurance policy is different with regards to what they will cover for a particular patient having surgery with a particular surgeon and hospital. 10. Most insurance companies will cover the cost for the Boston Brace System. They strive to maintain the quality and integrity of each device and provide the highest quality patient care and services. If your child does not qualify for Medicare, there may be other options available. Is scoliosis surgery covered by insurance? Following scoliosis surgery, some teenagers may need to wear a brace. Presently, there is not an insurance approved code specifically for these braces, therefore the claim could be totally denied or only partially reimbursed. Scoliosis surgery is a life-changing surgery that can help you regain mobility and relief from pain. But you need intermittent pressure on bones to stimulate growth, and the concavity needs to grow. A scoliosis brace is one way to treat children with scoliosis. ! Many clinicians are moving from simple measurements/casting to scanning. Yes, a prescription by an MD is required to have a brace fit and delivered to a scoliosis patient. While this is a valid concern, the following information will help you better understand the cost associated with this procedure and how insurance works. You may be concerned that your scoliosis surgery won’t be covered by your insurance. Your surgery will require not only the lead surgeon but also an anesthesiologist and team of other support staff. These braces are typically custom-made and can be expensive. The surgical procedure. You cannot "guide" bone growth by squeezing the ribs … Learn about how the brace is made, and why and when it is used. When it comes to bracing, the average cost of a traditional scoliosis back brace can vary depending on the design. Avon, MA 02322 USA Unfortunately, CLEAR scoliosis treatment is not covered by ANY insurance, as Medicare has a strict policy on what they will and won't cover. On a forum at Scoliosis.org , patients discuss insurance coverage of braces. Under its durable medical equipment benefit, Medicare Part B … Driving Directions ›, Fabrication / Distribution and Customer Service: 800.262.2235 They are no more effective than the braces made by Boston Orthotics & Prosthetics, the makers of the original and most popular scoliosis brace, the Boston Brace. Scoliosis treatment typically is covered by health insurance, with some restrictions. The hospital or surgical facility where you’re having your scoliosis correction surgery can also help you navigate the portion of your surgery that will be paid for by your insurance provider. This is simply the range of possibility when it comes to price. Like LynnMarie and Debbe, my insurance covered the surgery with no questions. 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