Is there any way to negotiate with the insurance company? Aetna even told me a couple weeks in advance it was covered when I called the insurance directly. Then, the day prior to surgery, I called Aetna about something unrelated and they indicated that my surgery would probably not be covered because it is considered experimental.
According to Aetna-reported data, its healthcare network comprises more than a million healthcare professionals;primary care doctors and specialists; 5, hospitals and consists of MCRA presented the case for reimbursement of the STAR ankle to insurers and independent organizations that provide authoritative guidance on health care issues and practices. The firm provided insurers with information about TAR generally and specific evidence supporting the use of the STAR ankle in suitable patients.
Aetna considers metatarsal phalangeal joint replacement for other indications, and for joints other than the first metatarsal phalangeal joint e. Aetna considers ceramic prostheses e. Aetna considers modular implants e.
Aetna considers the following metacarpophalangeal MCP or proximal interphalangeal PIP joint implants medically necessary for members with symptomatic rheumatoid arthritis, systemic lupus erythematosus, osteoarthritis, or post-traumatic arthritis when conservative medical management fails to relieve pain or when digit deformity is interfering with hand function and activities of daily living:. Aetna considers resurfacing arthroplasty of the PIP joint experimental and investigational in the treatment of osteoarthritis and all other indications. When conservative medical management fails to relieve pain or when digit deformity is interfering with hand function and activities of daily living, surgical interventions are considered.
We work with the insurance plans listed below. If your insurance company is not on the list, or if you do not have insurance coverage, please ask to speak to the Financial Coordinator when you schedule your appointment. Medicaid Virginia plans only www.
The thumb joint at the base of the thumb is the most mobile in the hand. The thumb can move up and down, in and out, and rotate slightly to touch the fingers. We move our thumbs hundreds of times each day.
There is a paucity of research evaluating the cost-effectiveness of surgical interventions for rheumatoid arthritis RA patients. Previous reports have challenged the sustainability of improved outcomes after silicone metacarpophalangeal arthroplasty SMPA. The objective of this study is to conduct an economic evaluation of the long-term health outcomes after SMPA.
I then took the appropriate wire from the Arthrex system and drilled from the base of the first metacarpal through the second. Once I documented that it was through, I then ended up passing a suture passer through the hole that was created by the wire, and then I documented that it was through both ends of the bone on the first and second metacarpals and then passed a FiberWire from the radial side, coming dorsally through the first metacarpal and the second. I then engaged the button on the thumb into the thenar muscle, and then once I saw it was in good position, I placed the button on the dorsal part of the second metacarpal, and then I ended up putting traction on the thumb and tensioning it appropriately and then tying it over the second button.
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Background Thumb arthritis at the carpometacarpal CMC joint is one of the most common sites of arthritis, especially in women. Thumb arthroplasty is an effective method of relieving pain and improving function. Materials and Methods Qualitative and quantitative outcomes were assessed clinically and radiographically in 58 patients 66 thumbs with thumb basal joint arthritis limited to the trapeziometacarpal joint, treated with hemiresection arthroplasty of the trapezium, flexor carpi radialis FCR ligament reconstruction, and allograft costochondral interposition graft.