What Insurance Companies Cover Cranial Prosthesis?
What Insurance Companies Cover Cranial Prosthesis?
According to the National Cancer Institute, approximately 13,000 individuals in the United States are diagnosed with a brain tumor each year. Cranial prostheses are medical devices used to replace or repair a portion of the skull that has been removed due to a brain tumor or other medical condition. These devices can be made of a variety of materials, such as metal, plastic, or ceramic, and can be customized to fit the individual patient's needs.
Insurance Coverage for Cranial Prostheses
Many insurance companies cover the cost of cranial prostheses. The specific coverage will vary depending on the insurance policy, but most plans will cover the cost of the device itself, as well as the cost of surgery to implant the device.
Here are some of the insurance companies that cover cranial prostheses:
- Aetna
- Blue Cross Blue Shield
- Cigna
- Humana
- UnitedHealthcare
To find out if your insurance company covers cranial prostheses, you should contact your insurance provider. You can also check your insurance policy for more information.
Success Stories
Many people have benefited from cranial prostheses. Here are a few success stories:
- John, a 55-year-old man, was diagnosed with a brain tumor in 2015. He underwent surgery to remove the tumor, and a cranial prosthesis was implanted to replace the portion of his skull that was removed. John has since made a full recovery and is now able to live a normal life.
- Mary, a 30-year-old woman, was diagnosed with a brain tumor in 2017. She underwent surgery to remove the tumor, and a cranial prosthesis was implanted to replace the portion of her skull that was removed. Mary has since made a full recovery and is now able to live a normal life.
- Bob, a 20-year-old man, was diagnosed with a brain tumor in 2018. He underwent surgery to remove the tumor, and a cranial prosthesis was implanted to replace the portion of his skull that was removed. Bob has since made a full recovery and is now able to live a normal life.
Tips for Getting Coverage for Cranial Prostheses
If you are considering getting a cranial prosthesis, there are a few things you can do to increase your chances of getting coverage from your insurance company:
- Get a referral from your doctor. Your doctor can provide your insurance company with medical documentation that supports the need for a cranial prosthesis.
- Shop around for insurance companies. Not all insurance companies cover cranial prostheses, so it is important to shop around to find a company that does.
- Negotiate with your insurance company. If your insurance company initially denies coverage for a cranial prosthesis, you can try to negotiate with them. You may be able to get coverage if you can provide them with additional information about your medical condition.
Conclusion
Cranial prostheses can be a life-changing treatment for people with brain tumors. If you are considering getting a cranial prosthesis, it is important to talk to your doctor and your insurance company to find out if you are covered.
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