ADR procedures
There is also the issue of post-op care/follow-up.
INSURANCE QUESTIONS:
1) Who's on the hook for patient post-op ADR care?
2) How are USA versus non-USA procedures covered?
3) Non-USA & non-FDA approved?
If an FDA approved, insurance covered surgery is performed in the USA, then one would think that post-op care would be covered.
However:
If insurance covered surgery is performed out of the USA, and the procedure is non-FDA approved, e.g. multiple level cervical ADR, could the grounds that ADR is experimental, etc., be used as grounds for refusal of post-op coverage?
Or:
Self pay surgery is performed out of the USA, the procedure is non-FDA approved, e.g. multiple level cervical ADR. Could the grounds that ADR is experimental, etc., be used as grounds for refusal of post-op coverage?
Refusal of coverge would put the ADR patient on the line for 100% of, tens or even hundreds of thousands of dollars, of out of pocket costs.
A financial disaster for 99.9999% of patients!
Does this make �safe� surgeries (laminectomy, anterior fusion, etc.) any more palatable?
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Cervical ADR of interest.
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