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Cartiiva implant and getting insurance in US to cover the procedure.

Posted , 3 users are following.

jan_53550
jan_53550

I was scheduled to have the cartiiva implant along with cheilectomy and débridement, but have had the procedure denied by my insurance as being investigated or not otherwise clinically accepted medical service. I plan on appealing that and am looking for other peoples experience with getting the implant covered by their insurance in the US. Any tips or advice will be much appreciated!!!

2 likes, 4 replies

4 Replies

  • nancy0814
    nancy0814 jan_53550

    Posted

    My doctor does not believe other procedures should be done at the same time as the implant surgery. He would not recommend doing cheilectomy and debridement  at the same time.  He said all bone must stay intact for the implant to take hold properly. Just a thought. Maybe they are asling for too many procedures at once. 
    • jan_53550
      jan_53550 nancy0814

      Posted

      I believe I can get the cheilectomy and debridgement covered, its the implant they are denying, but I expect the written denial to arrive in my mail today so will make sure I understand it completely. What procedures have you had done (if you have) and in what order? I hate the thought of going under the knife more than once, but also want good results so thanks for the comment.
  • nancy0814
    nancy0814 jan_53550

    Posted

    I had the cartiva implant done 3 weeks ago on my right big toe.
    • andrea98083
      andrea98083 nancy0814

      Posted

      did your insurance cover it, Nancy? Im looking into this procedure butt Kaiser won't cover it so am going to switch insurance. .. who are you insured with?

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