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Familiar with "TOPS" spine surgery?
Spine Health | Last Active: 22 hours ago | Replies (63)Comment receiving replies
@ou14mejc Doctors are not Medicare insurance specialists . Traditional Medicare will cover it if they state so. If you have one of those managed care type Medicare policies they may not. Check with the insurance billing department or billing service he uses and speak to a Medicare biller.
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@marietter I have talked to both Medicare and my supplemental insurance, which will pay everything Medicare doesn't cover. The problem is that many of the TOPS surgeons will not accept what Medicare pays because it doesn't pay well. I actually talked with the person in billing and she is the one who told me I may have an 11,500 out of pocket expense, despite Medicare telling me they will pay. The problem is that going into the surgery, they cannot tell you whether or not Medicare is going to pay....they only know AFTER if it's going to be covered. I'm hopeful that it will be covered!