Why Is Discseel Not Covered by Insurance?

If you are suffering from chronic back pain, you may be looking for a long-term solution that either minimizes your pain or removes it entirely. You may be reluctant to pursue risky surgeries and may be trying to find a minimally invasive alternative. One such option may be Discseel, a fairly new procedure that some insurance carriers are reluctant to cover. The team at Pain & Spine Physicians of San Antonio can help you. Contact us at 210-634-1232 to learn more.

Many different situations can lead to your insurance carrier refusing to pay for a treatment option that you feel is a viable option to treat your condition. Unfortunately, when your insurance denies your coverage, moving forward with experimental treatments may no longer be in your budget. It’s an unfortunate thing that can happen. We at Pain & Spine Physicians of San Antonio can help you determine if you’re a candidate for Discseel and work from there.

Problems With Insurance Carriers

There are many reasons why certain medical procedures, no matter how invasive or noninvasive they may be, might not be fully covered by your insurance carrier. If you are concerned that this procedure may not be covered by your own insurance, you may want to reach out to your insurance carrier directly or discuss options with your physician. Here are some of the various reasons why insurance carriers may not cover the procedure:

Experimental Connotation

The very word “experimental” can have negative connotations to it. In the world of health insurance, it classifies a procedure that is not yet widely accepted as a standard treatment. Insurance carriers generally don’t take risks when it comes to insuring for reliable treatments that have always worked in the past.

Limited Availability

One of the most important considerations is that this procedure is not yet widely available on a global or even national scale. There is a limited number of doctors who are certified to perform the procedure. Dr. Narciso Gonzalez is the only doctor in the San Antonio area certified to perform it. A limited number of certified medical professionals can impact insurance coverage.

New Procedure

Discseel is still a fairly new procedure that, in many ways, is still developing in the field of regenerative medicine. When it comes to new procedures, it’s not uncommon for insurance companies to take their time to update their coverage policies for newer treatments. What may be considered uninsurable today may be standard practice in a few years. Your insurance may be concerned about any possible risks or side effects of the procedure.

The Overall Cost

Your primary concern may be the cost, which can be substantial without insurance. While the total cost of the procedure ranges from $15,000 to $20,000, plus additional fees, it remains considerably less expensive than traditional spinal surgery. When you consider the long-term costs associated with spinal fusion, you have to include:

• Potential complications.
• Ongoing surgeries and medical care.
• Extensive recovery times that can cause you to miss work.
• Significant medical expenses.
• Prolonged rehabilitation costs.

These costs can add up quickly. Discseel comes with a relatively quick recovery time and a lower risk of complications. When it comes to payment, we can offer potential financing options as a way to make the treatment more accessible for you. This procedure tends to prove more cost-effective long-term.

Reach Out to a Medical Professional Today

When you are suffering from chronic back pain, you may not be as concerned about potential treatments being experimental. If you have been dealing with chronic pain for quite some time, it’s understandable to want to find any sort of fix. The medical team at Pain & Spine Physicians of San Antonio recognizes the impressive potential and high success rate of Discseel. We have certified and qualified physicians who are capable of performing the procedure.

Reach out to the medical team at Pain & Spine Physicians of San Antonio to speak to someone who can walk you through the benefits and drawbacks of this procedure. Contact us at 210-634-1232 or reach out through our online portal to speak with someone about how we can assist you with your situation. Our experienced team can help you consider your options.