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Does Southeastern Spine Institute Accept Medicare

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Does Health Insurance Cover Back Surgery

Why Called an Institute? The Southeastern Spine Institute Medical Documentary

Your spine doctors at the Southeastern Spine Institute rely on a host of treatment options and less invasive procedures to treat back pain before resorting to surgery. But if surgery is your last resort, the last thing you need to worry about is how to pay for it.

The cost of a typical back surgery can exceed $100,000, according to Modern Healthcare. Thats a huge bill if you had to pay out of pocket. Fortunately, most health insurance policies cover back surgery when its medically necessary.

Consider not only the surgical costs, but also the medications, magnetic resonance imaging and other tests, rehabilitation and disability. The direct costs are astronomical and can reach as high as $169,000 for a lumbar fusion and up to $112,000 for a cervical fusion.

Back Surgery Coverage

Learn how to communicate with your health insurance company about back surgeryand other medically necessary treatments. Insurance coverage works more smoothly when the paperwork is done properly. The process is relatively straightforward:

  • Your SSI doctor recommends back surgery.
  • The billing team at SSI completes the paperwork and submits it to your carrier.
  • You receive pre-approval for the procedure.
  • You undergo the back surgery.
  • The insurance company pays the bill, minus any co-pays and deductibles that are your responsibility.
  • Potential Pitfalls

    Helpful Hints

    Workers Comp For Back & Neck Treatment

    Back pain is one of the most common reasons for missed work in the United States. If you have been injured on the job, you may be eligible to have your treatment paid for by your employer.

    Prior to scheduling an appointment, you must first obtain approval for your adjuster or case manager and will need the following information:

    Prior to scheduling an appointment, you must first obtain approval for your adjuster or case manager and will need the following information:

    • Your employers name and address
    • Workers compensation claim number
    • Insurance carriers name and address
    • Insurance adjusters name, phone and fax numbers
    • Date of work related injury

    If You Live With Chronic Neck Or Back Pain And Have Ever Been Told You Need Surgery You Want The Best Outcome Possible

    As a regional leader in robotic surgical technology, Hartford HealthCare is providing more advanced treatment options for spine surgery than ever before using the most sophisticated surgeon guided robotic technology available today.

    Get the latest healthcare news directly in your inbox.

    Sign up for text alerts / Text MoreLife to 31996.

    Read Also: Does Medicare Cover Outside Usa

    Orthopedic Surgeon Location In Pearland & Lake Jackson Tx

    Telemedicine Options Offered at The Spine Institute of Southeast Texas

    Virtual Clinic

    The Spine Institute of Southeast Texas Virtual Clinic provides an easy and convenient way to connect with our healthcare providers through a scheduled video appointment. Through Virtual Clinic, you can receive a diagnosis, imaging review, and recommendations for next steps in your care. Please call today to schedule your Virtual appointment : 713.987.7760

    Post-Surgical Care

    We are here for our patients, and will continue to care for you. We are now offering our patients recovering from a surgical procedure an alternative to easily touch base with their provider and have a post-operative video appointment via computer, tablet or smart phone. The video visit allows the patient and provider to discuss concerns like how the patient is feeling, symptoms associated with surgery and healing process.

    The Spine Institute of Southeast Texas Patients:

    We have been monitoring the situation concerning COVID-19 across the community. We value the health and well-being of our patients and staff above all.

    The Spine Institute of Southeast Texas will remain open and we will continue to monitor the situation day-to-day. However, we are taking extra precautions and we need each of your help in making these precautions as successful as possible.

    Please stay home:

    Please continue to keep your appointments:

    • if the above doesn’t apply to you.

    Many thanks for helping us to implement these short-term changes!

    No Referral Is Needed At Ssi

    The Southeastern Spine Institute is the largest spinal medicine practice in South Carolina.

    Medical practices have changed dramatically in the past 50 years. If youre reading this on a computer or another electronic device, youre likely too young to remember the family doctor making house calls. You probably have never seen an actual doctor offer you a cigarette or wear one of those weird mirrors on his head.

    Today, most people with health insurance have a Primary Care Physician who delivers front-line care, including general check-ups, blood tests, and most prescription medications. But if you need to find out why you have pain in your hip, you have to go to an orthopedic doctor. And if you have a urinary tract infection, you must see a urologist.

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    Doctors & Health Care Providers

    There are 27 members in Mt Pleasant SC.

    You can use use filter to narrow down the members list, showing only members that you want.

    Doctor /Physician / Health care ProviderProvider Name Taxonomies

    Disclaimer does not provide medical advice, diagnosis or treatment. The information contained in this website is only for general information purposes. The information mainly comes from Centers for Medicare & Medicaid Services published data, and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, user generated contents or related graphics or advertisings contained on the website for any purposes. Any reliance you place on such information is therefore strictly at your own risk. Use of this website constitutes acceptance of the Terms of Service and Privacy Policy.

    Total Payments Received Between 2014 And 2018

    Dr. Nobles received more money than a majority of anesthesiologists nationally. Dr. Nobles has received a notably large amount of money from medical companies. This graph represents paymentsDr. Nobles received relative to the median payment received bysimilar doctors.

    For more information about specific types of payments, see thebreakdown of payments by category.

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    Does Medicare Cover Laser Back Surgery

    Good news for seniors who have put off treating neck or back pain because of cost: Physician Partners of America is one of the few healthcare providers that accepts Medicare for minimally invasive laser spine procedures.

    These procedures typically cost patients thousands of dollars without Medicare or insurance coverage.

    With most laser spine surgeries, the surgeon and the surgical facility are billed separately. Physician Partners of America accepts traditional Medicare for both the physician and the facility, allowing the procedure to be become more affordable for Medicare patients.

    No one should be forced to live with excruciating pain because they cant afford surgical intervention, said James St. Louis, D.O., MS, director of PPOAs Minimally Invasive Laser Spine Group. We are pleased to be able to make this life-changing option to our patients very affordable.

    How Can I Book An Appointment Online With A Medicare Orthopedic Surgeon

    The Southeastern Spine Institute New Medical Center

    Zocdoc is a free online service that helps patients find Medicare Orthopedic Surgeons and book appointments instantly. You can search for Medicare Orthopedic Surgeons by symptom or visit reason. Then, choose your location. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.

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    Are Video Visits With An Orthopedic Surgeon Online Covered By Medicare

    Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Orthopedic Surgeons who accept Medicare for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.

    Self Pay For Medical & Non

    Depending on your coverage, you may be responsible for the payment of a portion of your services and treatments. Patients are most commonly responsible for the office visit charge, as well as diagnostic or therapeutic tests performed during the visit.

    If your individual insurance or workers compensation claim is not accepted by your insurance provider, you will be held responsible for the payment of all services. Please verify our acceptance of your insurance before making an appointment as changes may occur in the plans that we accept.

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    Is Minimally Invasive Spine Surgery Covered By Insurance

    If you suffer from back pain, chances are you want to explore treatment options. Whereas some back pain may be fixed with physical therapy or medication, some issues must be treated surgically. Surgery can be costly, so researching your options will be imperative.

    While traditional surgery may be a viable option for some patients, minimally invasive surgery is also an attractive option. This procedure boasts afaster recovery, less pain, and only a small incision. It may seem like the obvious choice, but only a handful of doctors are skilled enough to practice this form of surgery. Dr. Hanson is the only orthopedic spine surgeon in Minnesota to perform endoscopic hemilaminectomies, foraminotomies, microdiscectomies and nerve transections.

    Minimally invasive spine surgery is performed with many different surgical implements, including lasers, endoscopes, computer-assisted navigation systems, and operating microscopes. This allows the procedure to be performed through a small incision. The decision to use a specific technology is based on the needs of the patient.

    Luckily, most insurance plans should cover minimally invasive spine surgery.

    Spine surgery is only performed to treat an actual medical condition. Because it is not a cosmetic procedure, insurance companies should cover the cost of spine surgery as long as a doctor determines it is medically necessary and the patient has completed the conservative care requirements set by their specific insurance.

    Does Medicare Cover Laser Spine Surgery

    by Christian Worstell | Published January 19, 2022 | Reviewed by John Krahnert

    Medicare Part B may cover laser spine surgery if the procedure is ordered by a doctor and considered medically necessary. Learn more about Medicare’s out-of-pocket costs and the limits of when Medicare does cover spinal surgery.

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    The Problem With Spine Care Today

    We know that the burden of spine disorders on individuals and society is enormous. Patients are faced with a wide array of treatment options, some of which are based more on marketing than science or clinical benefit. This can be very stressful for a patient. Spine care today is fragmented, expensive, and often has little clinical data to support its effectiveness.

    We believe we can and must do better. At Georgia Spine & Neurosurgery, we treat patients based on scientific protocols, emphasizing education, healthy lifestyles, and conservative treatments over surgery. When surgery is indicated, the use of minimally invasive techniques results in better outcomes with less pain and fewer complications. We have spent over 20 years perfecting our patient selection and minimally invasive surgical techniques, presenting our results at association meetings and publishing articles in prestigious journals.

    How Can I Find A Top

    You can use Zocdoc to find Medicare Orthopedic Surgeons who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.

    Recommended Reading: Does Medicare Cover New Patient Visit

    Southeastern Spine Institute: The Best

    When it comes to spinal medicine, the Southeastern Spine Institute is the regions largest and most complete practice. Everything you may need, from physical therapy to surgery, is located on one campus located in Mt. Pleasant, SC. The doctors, surgeons and staff at the facility are committed to relieving your pain and getting you back to your normal life as quickly as possible.

    You may not need surgery in fact, fewer than 10 percent of all patients do but the skill and experience of the medical staff and the diagnostic tools at their disposal mean that you get the best care and the most thorough diagnosis. Spinal medicine doesnt get any more advanced than at the Southeastern Spine Institute.

    How Can I Make A Same

    Lifetime Spine Care Southeastern Spine Institute

    On average, patients who use Zocdoc can search for an Orthopedic Surgeon who takes Medicare insurance, book an appointment, and see the Orthopedic Surgeon within 24 hours. Same-day appointments are often available, you can search for real-time availability of Orthopedic Surgeons who accept Medicare insurance and make an appointment online.

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    How Much Does Minimally Invasive Spine Surgery Cost

    The cost of minimally invasive spine surgery can vary depending on the patients condition, the length of the procedure, and the surgeons fees. However, it is a much cheaper alternative to traditional surgery. A 2011 study published in SAS Journal showed the cost of a minimally invasive transforaminal lumbar interbody fusion was $14,183.00 on average while the cost of open surgery was $18,633.00. The cheaper costs are due to the fact that a minimally invasive procedure does not have to be performed in a hospital setting. It is an outpatient procedure, so many take place in surgery centers. Patients are able to go home after outpatient procedures, eliminating the cost of a hospital stay.

    How much you pay out-of-pocket will depend on your own insurance coverage. You will have to consider your deductibles and copays because they vary across insurance plans. If you have a high deductible and copay, then you may pay a substantial amount out-of-pocket. If you have a high premium, then you may only have to pay a small amount out-of-pocket, or nothing at all.

    You will also need to make sure your doctor accepts your insurance plan. Some surgeons may not accept various private insurance plans because some insurers wont agree to pay the amount the surgeon believes they should be paid for each service.

    How This Providers Patients Compare

    Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients age, sex, diagnoses from the past year and other factors. This providers score below takes into account all of Part B patients.

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    Southeastern Spine Institute Llc

    Detailed information about Southeastern Spine Institute LLC in Mt Pleasant South Carolina.

    Southeastern Spine Institute LLC is a Medical Group that has 4 practice medical offices located in 1 state 2 cities in the USA. There are 27 health care providers, specializing in Physical Medicine And Rehabilitation, Orthopedic Surgery, Neurosurgery, Anesthesiology, Interventional Pain Management, Diagnostic Radiology, Physician Assistant, Physical Therapy, Nurse Practitioner, being reported as members of the medical group. Medical taxonomies which are covered by Southeastern Spine Institute LLC include Surgical, Neurological Surgery, Orthopaedic Surgery of the Spine, Nurse Practitioner, Physician Assistant, Orthopedic, Anesthesiology, Sports Medicine, Diagnostic Radiology, Physical Therapist and many more.

    A World Of Specialists

    To visit any of these specialists and have your insurance companies cover the visit and any subsequent treatment, you often need a referral from your PCP. You see specialists in spinal medicine in the same manner. Your doctor agrees you need to see a specialist and recommends someone or gives you a choice of several.

    Its usually up to you to make sure the specialist you choose or your PCP chooses is covered by your medical insurance. Youve heard of in-network coverage and out of network charges. This is an example of why it matters. If you choose a specialist out of your network, you may pay more, but you choose him anyway because you want the best care.

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    Laser Spine Surgery Performed By Experts

    Dr. St. Louis, the surgical founder of Laser Spine Institute in Tampa, Fla., joined PPOA in January. Phillip Kravetz, M.D., another pioneer in the field, will perform these procedures in Texas.

    Minimally invasive laser spine procedures are fast becoming the gold standard for addressing severe spine-related pain. Minimally invasive refers to the small incision and tiny instruments used to perform a procedure. Narrow dilation tubes are fed through the incision to spread the muscles surrounding the back. In contrast, traditional open back surgery uses a five- to six-inch incision. Through this a surgeon must cut and tear muscles to reach the spine.

    The laser is mainly used for ablations and disc work.

    Laser spine surgery isnt the only way PPOA ensures a good patient outcome. Its surgeons also use intraoperative neuromonitoring to further ensure safety of the patients neural system during the operation. IONM can see what neither the doctor nor the fluoroscopy machine can, and it helps avoid accidental injury.

    The methods used in PPOAs minimally invasive laser spine surgery allow for a totally outpatient procedure. Most patients are able to walk out of the surgery center the same day, and resume activities in days or weeks, as opposed to months with traditional surgery.

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    How often Dr. Nobles performs Neurostimulator Implant relative to the95 other doctorsalso performing the procedure in South Carolina:

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    How often Dr. Nobles performs Spinal Drug Pump Analysis relative to the24 other doctorsalso performing the procedure in South Carolina:

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    How often Dr. Nobles performs Spine Nerve Block relative to the143 other doctorsalso performing the procedure in South Carolina:

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