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Choice Enrollment Blog

Will Health Insurance Cover Your Surgery?

4/7/2023

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Picture
​Nobody intends to become ill or injured, but accidents and mishaps occasionally happen, whether you expect them or not. Should you ever require surgery, you will be plagued by worries about whether it will be successful, whether it will hurt, how long it will take you to recover, and how much it will cost. 

If you already have health insurance or are considering purchasing one, you'll want to know whether it will pay for your surgery and how much money it will save you.

Fortunately, many health insurance plans entirely or partially pay for surgical procedures that a healthcare professional deems necessary from a medical standpoint. If you intend to have surgery, it's crucial to ensure the cost will stay within your health budget. The majority of people rely on their health insurance to pay for surgery.
Coverage depends upon the health insurance provider
Every health insurance provider has guidelines for determining which services qualify as medically necessary. Even though insurance rarely pays for cosmetic surgery, some procedures are frequently regarded as necessary following other medical procedures.

You should review your Summary of Benefits and Coverage (SBC) and your procedure costs to determine whether your operation is covered by health insurance. Get in touch with your surgeon and health insurance provider for more information.

Each health insurance offers various benefits and coverage options, even those from the same company. It's crucial to determine how much of the overall cost of the surgery you would be responsible for paying.

Additional Expenses
Beyond the price of a single procedure, surgery has additional financial costs that can include:
  • Fee for nurses or healthcare professionals
  • Surgeon's fee
  • Utilizing an operating room
  • Hospitalization
  • X-rays
  • Blood or additional biological support
  • Anesthesia
  • Medical equipment
  • Nursing care facility
  • Therapy

Each of these things might have a different level of coverage depending on your health insurance plan. It is helpful to be aware of what might be excluded.

Conclusion
Having health insurance is a necessity. It can assist in offsetting the costs of anything from minor illnesses to major diseases, including surgeries or treatments for conditions that could be fatal. It's crucial to remember that having health insurance does not ensure complete coverage. You might have to foot the bill if your deductible is high and the surgery is minor.

Despite this, health insurance is still crucial because it will give you security or peace of mind and enable you to live your life fully.

At Choice Enrollment, we strive to provide our clients with affordable and comprehensive policies. We will always go all out to satisfy your demands. To learn more about how we can assist you, don't hesitate to contact us at (719) 745-5111 or CLICK HERE to request a free quote. Topics and coverage discussed in this article are not guaranteed, consult with your agents to determine what your policy does and does not cover. We are more than happy to help!
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5390 North Academy Blvd.
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Colorado Springs, CO 80918
(719) 481-1616
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Advanced Benefits Associates Inc, also known as Choice Enrollment is a licensed insurance provider in the state of Colorado.
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