Insurance Update: Determining Your Costs and Coverage

Boston Scientific is pleased to announce that there is even greater access for SpaceOAR Hydrogel. The positive coverage by Medicare and other major insurers across the US allows for patients to include SpaceOAR with their radiation therapy for their prostate cancer.

Being diagnosed with prostate cancer can raise many unanswered questions about your health, treatment options, and side effects of the treatment you choose. There are many things to consider when making such decisions about your care including the financial aspect of your treatment. In the case of radiation, your medical team may offer the placement of SpaceOAR before radiation therapy which has been shown to help minimize the side effects by preserving the rectum. The financial burden that comes with a major life changing diagnosis can be just as challenging. It is important for the patient and the caregiver to be proactive in the treatment, care and prognosis and feel empowered to make an informed decision about their care.

As with any other procedure, the first step is to reach out to your health care provider to verify the coverage options under your specific plan. In general, for every SpaceOAR patient, we recommend that your provider perform a complete verification of benefits with your insurance company several days, if not weeks, in advance of the scheduled SpaceOAR procedure. The verification of benefits is a crucial component to understand the coverage criteria under your plan as well as timing the scheduling of your procedure.

There is a whole team behind SpaceOAR to help you navigate the insurance coverage of SpaceOAR in the event you encounter obstacles related to your insurance.

For more information visit: SpaceOAR Patient Insurance Coverage