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Are you covered?

The following insurers currently have a positive coverage policy in effect for total disc arthroplasty (Cervical, Lumbar or both). This means that the company generally covers some of the cost of the procedure for qualified patients.

If you don't see your insurance company below, see the resources on the right to learn how the Patient Assistance Line (PAL) might be able to help you.

       
Positive Coverage for Total Disc Replacement
As of February 2012
ProDisc-C ProDisc-L
Payer with Positive Coverage Coverage Location Cervical Lumbar
  Aetna National Yes Yes
  Arkansas BCBS Arkansas
Yes
  Assurant Health Oregon Yes Yes
  BCBS of North Dakota/Noridian North Dakota Yes
  BCBS of Arizona Arizona
Yes
  BCBS of Delaware Delaware Yes Yes
  BCBS of Florida Florida Yes
  BCBS of Illinois Illinois Yes
  BCBS of New Mexico New Mexico Yes
  BCBS of Oklahoma Oklahoma Yes
  BCBS of South Carolina South Carolina Yes
  BCBS of Texas Texas Yes
  BCBS of Wyoming Wyoming Yes
  Capital Health Florida Yes Yes
  CareFirst BCBS Maryland and DC Maryland and DC Yes Yes
  CIGNA/Great West National Yes
  Dean Health Plan Wisconsin Yes
  Deseret Mutual Benefit Assoc Utah  Yes
  Geisinger Health Plan Pennsylvania Yes Yes
  Gundersen Healthplan Wisconsin, Iowa, Minnesota Yes Yes
  Hawaii Medical Service Assoc (BCBS) Hawaii  Yes
  Highmark BCBS Western Pennsylvania Yes
  Horizon BCBS of New Jersey New Jersey Yes Yes
  Lifewise Healthplans Oregon, Washington Yes
  Medical Mutual of Ohio Ohio Yes
  Mountain State BCBS of West Virginia West Virginia Yes
  ODS Healthplans Oregon Yes Yes
  Oxford Health Plans (United Healthcare) Connecticut Yes
  Premera BC Washington and Alaska Yes
  Presbyterian Health New Mexico Yes
  PriorityHealth Michigan Yes
  Providence Health Plan Oregon Yes
  Qualchoice Arkansas
Yes
  SelectHealth/Intermountain Health Care Utah Yes Yes
  United Healthcare National Yes
  Unity Health Wisconsin
Yes
  Washington State L&I (work comp) Washington Yes Yes

Important Patient Information:

The resources provided on this site are for informational purposes only. This website is not a replacement for professional medical advice. You should discuss both surgical and nonsurgical treatment options with your doctor. Only your doctor is qualified to diagnose and treat your condition.

Problems can occur when you have spine surgery, including surgery with ProDisc implants. There is a risk that the surgery may not make you feel better or may cause you to feel worse. If this happens, you may need another surgery to help you feel better. View the specific problems that can occur during or after ProDisc-L or ProDisc-C surgery.

Reimbursement is dynamic. Coding, coverage and payment are subject to change. Synthes cannot guarantee reimbursement for any procedure associated with the use of its products. Providers should contact their specific payers if they have questions regarding coding, coverage or payment.

 

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