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lsme1999 avatar

Can you request surgery?

Brain & Nervous System | Last Active: 14 hours ago | Replies (7)

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Profile picture for jenatsky @jenatsky

Unless the small meningioma is considered medically necessary insurance will not pay. But you can go to a plastic surgeon who I’m certain would help you in a cash bases. If it’s small enough to done in the office you can get off cheap. If it’s something that will require anesthesia administered it will cost you big bucks.

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Replies to "Unless the small meningioma is considered medically necessary insurance will not pay. But you can go..."

@jenatsky: I’m wondering if perhaps you’re thinking of a similar sounding condition, a hemangioma. It can be confusing as medical terminology may sound alike but can be quite different in presentation and treatment.

A hemangioma is a collection of blood vessels that are often referred to as a “strawberry mark”, and you’re correct that some plastic surgeons can treat these in office.

A meningioma, on the other hand, is a generally benign (Grade 1) tumor like growth arising from the meninges of the spinal cord or brain that doesn’t cause symptoms. Individuals who have these are advised to monitor with regular imaging scans or immediately report if they become symptomatic at which time intervention would be indicated. This is a decision made by a neurologist or neurosurgeon who may perform a craniotomy (removal of a portion of the skull to gain access to the brain) or a specialized radiation procedure.

What I had initially attempted to answer is an individual cannot request either intervention (surgery or radiation) in cases like this as it is not considered an elective procedure. The above guidelines serve as the general basis for medically necessary treatment for meningiomas.

Does that help to explain the difference?