Does Medicare cover and reimburse for the SpaceOAR Hydrogel procedure?
Yes, currently all Medicare Administrative Contractors (MACs) cover and reimburse for the SpaceOAR Hydrogel procedure when medically necessary.
How can I find out if my insurance company will cover the SpaceOAR Hydrogel procedure?
The Benefit Verification and Pre-Authorization Team at Boston Scientific can confirm if SpaceOAR Hydrogel is considered a covered procedure and if a preauthorization is required by your insurance carrier. We can also verify any out-of-pocket costs associated with the procedure. Please contact your physician’s office to work with our Benefit Verification and Pre-Authorization Team prior to scheduling your SpaceOAR Hydrogel procedure.
Is there a financial assistance program available for SpaceOAR Hydrogel?
Unfortunately, there are no formal financial assistance programs available for the SpaceOAR Hydrogel procedure through Boston Scientific.
What if my health insurance company has denied coverage for the SpaceOAR Hydrogel procedure?
Please work with your physician’s office to contact the Benefit Verification and Pre-Authorization Team at Boston Scientific.
My health plan does not consider SpaceOAR Hydrogel as medically necessary. What can I do as a patient?
If your health insurance company has denied coverage for the SpaceOAR Hydrogel procedure, we recommend appealing the decision. Please work with your physician’s office to submit your denial to the Benefit Verification and Pre-Authorization Team at Boston Scientific for support.
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Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.
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