Insurance Coverage – Neurostimulation
Neurostimulation is covered in all 50 states and Puerto Rico by Medicare, as well as by many private insurance companies.
Cost
The cost of neurostimulation can be $20,000 or more. This cost includes the device itself, medical fees, and additional expenses. It’s important to make sure you understand your coverage and any insurance provider requirements, including “prior approval.” Please note that Medicare does not require a prior approval process.
Approval Process
Typically, your doctor will work with you to get prior approval from your insurance company. He or she will send a letter of medical necessity explaining why neurostimulation is right for you, and confirming that more conservative treatments have been unsuccessful.
Sometimes insurance companies are unfamiliar with neurostimulation, and may turn down your initial request. Don’t be alarmed if this happens to you. Often, sending more information as part of an appeal can be helpful. Members of the Medtronic Coverage and Authorization Services Group will guide you and your doctor through the approval process.
The Medtronic Health Economic Managers develop education strategies and provide services to resolve specific coverage and payment issues.
Services of the Health Economic Managers include:
- Education programs for individuals
- Information services to address specific coverage and payment questions
Questions
If you’ve been denied coverage or have questions, call Medtronic Coverage and Authorization Services toll-free at (800) 292-2903.
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.
Last updated: 3 Jun 2009
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Additional information
Contact Us
If you do not have neurostimulation, contact a
Medtronic
Medtronic Education Specialist
work (800) 664-5111
If you have neurostimulation, contact a
Medtronic
Medtronic Patient Services Specialist
work (800) 510-6735