Medicare covers some aspects of radiofrequency ablation, depending on the situation and medical need. Generally, Medicare Part B (Medical Insurance) will cover radiofrequency ablation if it is deemed medically necessary for treating certain types of pain. And this includes pain caused by arthritis, bursitis, and joint pain due to injury or disease. However, it does not cover any cosmetic treatment using this method.
It is best to consult a qualified healthcare provider who can advise on the specific coverage in your region to determine whether Medicare covers a particular procedure. Additionally, you should check with your insurance company directly to inquire about their policy regarding radiofrequency ablation coverage. And this can help you understand what it covers and doesn’t in your area.
Also, remember that even if Medicare covers radiofrequency ablation, the coverage may be limited or partial. Furthermore, co-payments or other out-of-pocket expenses may be associated with this procedure. It is best to research your situation before pursuing any treatment with radiofrequency ablation. And this helps ensure that you are aware of the total cost of the procedure before committing to it.
How to Ensure Medicare Covers Your RFA Procedure
To determine whether Medicare covers your radiofrequency ablation procedure, decide whether or not it’s treatment under this insurance. Medicare considers radiofrequency ablation a medical treatment and can cater to it under certain circumstances.
Medicare Part B (Medical Insurance) may cover RFA if the doctor uses it to treat a chronic condition such as rheumatoid arthritis, cervical or lumbar radiculopathy, and degenerative disc disease. If the radiofrequency ablation is being done for diagnostic purposes only, then there’s a possibility that Medicare Part A (Hospital Insurance) will cover it.
For Medicare to fully cover your radiofrequency ablation, you must receive the treatment from a provider with a valid written agreement. Medicare requires that providers submit a “Medical Necessity” form with each procedure they wish to perform, which must be approved by their health plan before scheduling and paying for the treatment.
Additionally, if you use a doctor who accepts the assignment of benefits, then you may be responsible for only 20% of the approved amount as your coinsurance. Also, note that there are limits on how many times radiofrequency ablation can happen in a year through Medicare, so it is best to discuss this option with your physician before scheduling any treatments.
Parting Shot
Medicare may cover radiofrequency ablation depending on your medical need and the region. It is always best to research your specific coverage and speak with a healthcare provider who can provide more information about this procedure.