Insurance coverage made clear
We work with most major insurance plans to help you understand your coverage before surgery. Our team handles verification and authorization so you can focus on your procedure.
What insurance
may cover
Most major insurance plans cover surgical procedures performed at accredited facilities like ours. Coverage varies by plan, procedure type, and your individual benefits.
Coverage for the procedures you need
Verification and authorizations
Our team contacts your insurance company to verify coverage and obtain any required pre-authorizations. We handle this coordination so you don't have to.
Insurance's we work with
Resources
If your surgeon is out of network, you may still have coverage through your plan's out-of-network benefits. We'll review your specific coverage details and walk you through what to expect financially before your procedure date.
Financing
We'll guide you through coverage and costs every step of the way.
Ready to move forward?
Give us a call. We're here to help.
Questions
Find answers to the most common questions about insurance and billing.
Coverage depends on whether your procedure meets your insurer's medical necessity criteria — meaning it treats a documented functional impairment, not a cosmetic concern. The best starting point is selecting your procedure below and reviewing what documentation is typically required. Your surgeon's office handles the prior authorization from there.
A procedure is considered medically necessary when it addresses a documented functional problem — chronic pain, restricted movement, obstructed vision, breathing difficulty — rather than appearance alone. Insurers also require evidence that conservative, non-surgical treatments were tried and failed before approving surgery.
Denials are common on first submission and can often be overturned on appeal. Your surgeon can submit additional documentation, request a peer-to-peer review with the insurer's medical director, or provide supplemental clinical evidence. Many initial denials are successfully reversed with a stronger authorization package.
Some plans require a referral from your primary care physician before seeing a specialist. Check your plan's requirements early — this step is easy to overlook and can delay your authorization timeline if it's missed.
Standard prior authorizations typically take 5–14 business days from the date of submission. Your surgeon's office manages the submission and follows up with your insurer. Having complete documentation ready before submission — clinical notes, imaging, treatment history — is the single biggest factor in how quickly a case moves.
Still have questions?
Our team is ready to help.
Verify your coverage
Submit your information and we'll help confirm eligibility.