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About SurgeryPlus SurgeryPlus is a supplemental benefit for non-emergency surgeries which provides high-quality care, concierge-level member service and lower costs. Whats especially helpful is that every health plan has to use the same outline to show the costs and coverage for each of the plans they offer. It is not to be used for medical advice, diagnosis or treatment. When enrolling you may choose to also cover your spouse, domestic partner, and/or children up to age 26. Generally, Medicare Part B covers cataract surgery because it's usually performed in an outpatient clinic, and most people won't require a hospital stay afterward. Outpatient: 15% of our allowance . How Much of Your Surgery Will Health Insurance Cover? The requirements needed for surgery, including any pre-operative tests, screenings, evaluations, and post-operative care will continue to be covered under your Aetna or Highmark Delaware non-Medicare health plan. 0000001036 00000 n
This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Inpatient hospital: $450 per admission copay for unlimited days, plus 35% of our allowance. 0000011564 00000 n
Please fill out the contact form so the right person can be in touch quickly. Guided Support You and your dentist will receive a benefit estimate for most procedures while you are still in the office. Expand your practice We route you incremental cases outside the typical radius of your practice. <<7C167570AC52504DB41418C8CABC0A04>]/Prev 422895/XRefStm 1266>>
Only travel arrangements made through your Care Advocate are eligible for coverage under the SurgeryPlus benefit. Delaware Courts
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You can also go through the SurgeryPlus member portal. 89 37
(Refer to your dental benefits plan summary for your out-of-network dental coverage.) Read your certificate of insurance for details on plan benefits, limitations, and exclusions. For example, rather than paying separately for the surgeon, facility, anesthesiologist, and radiologist, SurgeryPlus negotiates one bundled rate. Even though its meant to make the information easier to understand, it can seem like a lot at first. But treatment for chronic eye conditions like cataracts or glaucoma may be covered if your doctor considers it to be medically necessary.12. An estimated cost of cataract surgery may be*: In a surgery center or clinic, the average total cost is $977. The cost of cataract surgery not only depends on the equipment used and the IOL implanted, but on the skill of the surgeon, your overall health, and where you live in the country. PDF Orthognathic (Jaw) Surgery - UHCprovider.com Yes. However, some UnitedHealthcare policies charge lower deductibles . To connect with SurgeryPlus today, call 833-709-2445. Information gathered by our partners will be used for your benefit to help guide you on your path to wellness. Does Medicare Cover Pre-existing Conditions? Medicare.com, last accessed June 10, 2022. Because its all in the same format, its easier to make apples-to-apples comparisons when youre deciding which plan is best for you. 0000019224 00000 n
Examples of procedures covered are hernia repair, hysterectomy, colonoscopy, tendon release, spine injections and fusions, knee replacements, and many more.
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