Insurance Coverage – DBS Therapy
Cost of Treatment
The total cost of Medtronic Deep Brain Stimulation (DBS) Therapy for Essential Tremor varies significantly. Please contact your health provider for an estimate of the costs associated with DBS Therapy, and your insurance provider for coverage information.
Medicare Coverage
The current national policy provides coverage for Medicare beneficiaries who qualify as candidates for DBS. (Medicare does not require prior approval before an implant, although you must meet Medicare's criteria in order for the procedure to be covered.) You will still pay deductibles, coinsurance, and copayments.
Insurance Coverage
Typically, your doctor will work with private insurance companies to obtain prior approval. This process normally requires that your doctor send a letter of medical necessity to the insurance company. This letter explains why DBS is appropriate for you. It also describes the other treatments that have been attempted and failed.
It is not uncommon for an insurance company to deny a request for prior approval if they are unfamiliar with the treatment. If you receive a denial and wish to appeal, we’re here to guide you and your doctor through this process.
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
- Print Page
- E-mail Page
- A
- A
- A Text Size
