Regarding ulnar shortening surgery?
I visited a medical center due to wrist pain, and the doctor recommended a ulnar shortening surgery.
Is this procedure covered by health insurance, or will it need to be paid out of pocket?
Meng Fei, 50~59 year old female. Ask Date: 2022/04/18
Dr. Chen Yongxue reply Orthopedics
Hello, the surgery is covered by health insurance, but for the steel plate, you can choose between an insurance-covered plate or a self-paid plate.
Thank you.
Reply Date: 2022/04/18
More Info
Ulnar shortening surgery is a procedure often recommended for patients experiencing wrist pain due to conditions such as ulnar impaction syndrome, where the ulnar bone is longer than the radius, leading to excessive pressure on the wrist joint. This surgery involves shortening the ulnar bone to alleviate pain and improve function.
Regarding insurance coverage, the specifics can vary significantly based on the healthcare system in your country and the policies of individual insurance providers. In many cases, ulnar shortening surgery may be covered by health insurance if it is deemed medically necessary. This typically requires documentation from your physician, including imaging studies and a detailed explanation of how the surgery will address your specific condition. However, if the surgery is considered elective or if it does not meet the criteria set by the insurance provider, you may be responsible for the full cost out of pocket.
In the United States, for example, Medicare and many private insurance plans may cover ulnar shortening surgery if it is performed to relieve pain and restore function after conservative treatments have failed. It's essential to check with your insurance provider to understand the specifics of your coverage, including any deductibles, co-pays, or limits on the number of procedures covered.
As for the costs associated with ulnar shortening surgery, they can vary widely depending on several factors, including the surgeon's fees, the facility where the surgery is performed, and any additional costs related to anesthesia and post-operative care. On average, the total cost of the surgery can range from $10,000 to $30,000 if you are paying out of pocket. This estimate typically includes pre-operative consultations, the surgery itself, and follow-up visits. However, if complications arise or if additional procedures are necessary, the costs can increase significantly.
In addition to the surgical costs, you should also consider the potential expenses related to rehabilitation. Physical therapy is often recommended after ulnar shortening surgery to help restore strength and range of motion in the wrist. The cost of physical therapy sessions can add up, typically ranging from $50 to $150 per session, depending on your location and the therapist's qualifications.
It's also important to discuss with your surgeon the potential risks and complications associated with the surgery. While ulnar shortening surgery is generally considered safe, there are risks involved, including infection, nerve damage, and complications related to anesthesia. Understanding these risks can help you make an informed decision about whether to proceed with the surgery.
In conclusion, ulnar shortening surgery can be an effective solution for alleviating wrist pain caused by ulnar impaction syndrome. However, it's crucial to verify your insurance coverage and understand the potential costs involved. Engaging in a thorough discussion with your healthcare provider about the necessity of the surgery, the expected outcomes, and the financial implications will help you navigate this decision more effectively.
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