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Patient Insurance Coverage Support (PICS)
Minimally invasive surgical fusion of the SI joint is becoming a covered benefit by more insurance companies every year. The best way to find out is to call your insurance company and ask if they provide a Positive Coverage Policy for sacroiliac joint fusion surgery with the iFuse Implant System.
Prior Authorization: Some insurance companies require that you or your surgeon request "prior authorization" before they cover iFuse.
In the request, the surgeon describes the nature of the patient’s condition and why it is necessary to perform the iFuse procedure. The insurance company reviews the request and makes a determination to coverage under the patient’s insurance plan.
Insurance Appeals: When patients are forced to appeal their insurance denials while struggling with SI joint pain, the experience can be overwhelming. We would like to help.
If you are a patient who has experienced an insurance denial, or have been denied access to the iFuse procedure through your commercial or Medicare plan, we have resources for you.