What does your insurance cover? Do they cover shockwave therapy for ankle or foot therapy? Not many insurance plans find it easy to comprehend the extent of coverage they offer for foot or ankle solutions. In this case, shockwave therapy is an advanced solution, so this is something you, or your doctor, should look into.
What is shockwave therapy?
Shockwave therapy is one of the very first patented therapies that uses constructed, generated, or amplified sound waves to “shock” the patient to heal soft tissues. For any troubles that relate to the foot or ankle, especially plantar fasciitis, Achilles tendonitis, or Achilles tendinopathy, this is a preferred therapy. Studies have shown that this therapy is capable of breaking down or modifying calcium-containing bone spurs and aiding the proper functioning of joints.
Most patients with foot or ankle complications complain about the discomfort of wearing a brace or surgery. This is one therapy that is chosen without a second thought, or when other advanced solutions prove to be ineffective.
How is Shockwave Therapy Administered?
Not much is known about the technology behind shockwave therapy. It is relatively simple; the body is made to stimulate its self healing mechanics. Acoustic waves aids in blood flow and helps in the repair of cells. This is essential to the recovery of tissue in the case of an injury, especially for an athlete or an individual with an active lifestyle which constantly impacts the feet and ankles.
What is Shockwave Therapy Stimulator?
The versatility of with which treatment is administered makes it unique and, one would assume, complicated. It is, however, simple and easy to explain.
Plantar fasciitis is one of the most common issues because it causes pain at the heel. It also includes tendonitis of the Achilles, bunions, and even stress fractures.
Why Choose LMD Podiatry
Understanding the provider is very important if you want to make an informed choice on where to go for treatment. LMD Podiatry, being led by Dr. Lauren Dabakaroff, is prepared to offer both surgical and non surgical treatment for a wide range of foot and ankle issues. Because of Dr. Dabakaroff\\\’s training from Mount Sinai, patients are guaranteed the best foot and ankle care available. Not only are you guaranteed professional podiatric care, but also care that is empathetic and personalized to you.
Will Insurance Cover Shockwave Therapy
Things get a bit more complicated from here. Shockwave therapy and the associated costs are covered by insurance differently by different companies. The insurance provider, the type of insurance plan, and the conclusion of the physician all come to play. There are a few things you will need to think about.
Factors Impacting Coverage
- Insurance Provider: Not every provider will cover shockwave therapy. Some considered it experimental and some consider it optional.
- Medical Necessity: Talk to your physician about proving this is important. Insurance companies usually ask for a justification.
- Plan Exclusions: Check your plan to see what is to be covered and what is to be excluded.
*Steps to determine your insurance cover for shockwave therapy:
Claiming with insurances is usually complicated, but with a few simple actions, you can see your status without a lot of effort.
- Call your Provider: Always your first move. They’ll tell you what is covered.
- Talk With Your Doctor: Your doctor can help prepare your talking points and your insurance provider.
- Send A Pre-Authorization Request: Some insurance will not authorize without pre-approval.
- Obtain Everything In Writing: All communications and contracts must be recorded.
Other Options If Insurance Does Not Cover It
If insurance does not provide coverage for shockwave therapy, do not despair. You can still find ways to fill the void.
Payment Options and Reduced Fees
Many clinics, possibly including LMD Podiatry, allow payment plans, which helps to reduce the burden of the payment. You can also ask to be considered for reduced fees for being a self-pay patient.
Consider Other Therapies
If the cost of shockwave therapy is a barrier, there are other ways to try and get relief. For example, physical therapy, orthotics, and other gentle alternatives might be considered. It is a matter of finding a match for your situation.
Balancing Health Benefits With Expenses
At first, the prospective cost may seem daunting. However, in this case the available options and the benefits to your well being and quality of life must be considered. You need to look at your health in the long term in regard to your level of investment and exhaust the options that are in front of you.
Final Thoughts
When considering treatment options for various conditions of the foot and ankle, apart from the medical aspect of the issue, the financial implications also require considerable attention. While the benefits of Shockwave therapy are well-researched, the possible advantages may be significantly higher than the possible disadvantages. Insurance, however, can be complex. In the end, collecting the pertinent information along with available resources may be enough to empower you to make the best choice.
Always remember that your health is priceless, and taking any course of action, whether through insurance or another alternative, is equally important to keep you active and comfortable. “When in doubt, see an expert” is a good phrase to adhere to, and in the case of foot oriented issues, someone like Dr. Lauren Dabakaroff of LMD Podiatry could be a good first step.
Call the clinic to schedule a consultation on 954-680-7133 if you wish to query anything or are still in need of information. You are well aware that with treatment, your finances also need to be well planned and organized, and that is why with us you can rest assured that your health along with recovery is in safe hands.
