BACK AND SPINE

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Types of Back Pain
Upper Back Pain

Upper Back Pain Causes

Chronic Back Pain 

Depression & Chronic Pain
 

  CONDITIONS TREATED

Herniated Disc
Bulging Disc
Degenerative Disc Disease
Facet Joint Disease
Spinal Stenosis
Foraminal Stenosis
 

TREATMENT OPTIONS

Foraminotomy
Discectomy
Laminectomy
Laminotomy
 

LOWER BACK PAIN

Low Back Pain
Causes of Low Back Pain
Low Back Pain Treatment
Epidural Steroid Injections
Surgery For Low Back Pain
 

SURGERY PROCEDURES

Surgical Procedures
Types of Back Surgery
Spine Surgery
Spine Fusion
Spinal Disc Replacement

 

PATIENT RESOURCES

Back Pain Relief
Back Pain Treatment
Back Surgery
Artificial Discs
Insurance Carriers

 
 

Insurance Carriers & Coverage

WE HAVE THE EXPERTISE TO GET YOU APPROVED!

Surgical treatments are often covered benefits under many insurance policies. Coverage depends on what type of policy you have and the terms within the policy. Each insurance policy can vary greatly, even when issued by the same company. Your employer dictates the coverage in your policy. At our practice, if you have the benefit and meet the requirements, we WILL get you approved.

Insurance coverage changes frequently; therefore, itís always a good idea to check with our facility for the most recent updates on coverage.


  • A
  • AARP
  • Aetna
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross and Blue Shield of Colorado
  • Anthem Blue Cross and Blue Shield of Connecticut
  • Anthem Blue Cross and Blue Shield of Indiana
  • Anthem Blue Cross Blue Shield of Kentucky
  • Anthem Blue Cross and Blue Shield of Nevada
  • Anthem Blue Cross and Blue Shield of Virginia
  • Anthem Blue Cross and Blue Shield of Maine
  • Arkansas Blue Cross and Blue Shield
  • Assurant (previously Fortis)
  • American Security Life
  • Amerihealth *
  • Anthem Blue Cross and Blue Shield of Ohio
  • AsurisNorthWest Health
  • Advantra
  • Altius Health Plans
  • Atlantis Health Plan
  • Avmed Health Plan
  • AultCare
  • Alameda Alliance for Health
  • American Community Mutual Insurance Company
  • American Republic Insurance Company
  • American Specialty Health
  • Arcadian Health Plan
  • B
  • Bankers Fidelity Life Insurance Co.
  • Blue Cross and Blue Shield of Minnesota
  • Blue Cross Blue Shield of Florida
  • Blue Cross Blue Shield of Illinois
  • Blue Cross of California
  • Blue Cross of Idaho
  • Blue Cross Blue Shield of Georgia
  • BlueCross BlueShield of Kansas City
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Missouri *
  • Blue Cross Blue Shield of Nebraska
  • Blue Cross Blue Shield of New Mexico
  • Blue Cross Blue Shield of South Carolina
  • Blue Cross Blue Shield of Tennessee
  • Blue Cross Blue Shield of Vermont *
  • Blue Shield of California
  • Blue Cross Blue Shield of North Carolina
  • Blue Cross Blue Shield of Texas
  • Blue Cross Blue Shield of Wisconsin
  • Blue Cross Blue Shield of New Jersey
  • Blue Cross Blue Shield of New York *
  • Blue Shield of Washington
  • Blue Cross Blue Shield of Oregon
  • Blue Cross Blue Shield of Illinois
  • Blue Cross Blue Shield of Kansas *
  • Blue Cross Blue Shield of Alabama *
  • Blue Cross Blue Shield of Arizona *
  • Blue Cross of Massachusetts *
  • Blue Cross of North Eastern PA *
  • Blue Cross Blue Shield of Hawaii
  • BlueGrass Family Health
  • Blue Cross Blue Shield of New York
  • BadgerCare Plus
  • C
  • CareFirst Blue Cross Blue Shield
  • Celtic Insurance Company
  • CHA Health
  • Clarendon National Insurance Company
  • Cole Vision
  • CPIC Life
  • CNA/Highway to Health
  • Capital Blue Cross *
  • CIGNA *
  • CIGNA of Arizona
  • Connecticut General Life Insurance Company
  • Community Health Plan *
  • Companion HealthCare
  • Centene Corp
  • Coventry Health Care of Florida - South, FL (formerly Vista Health Plans) & Tampa (formerly Summit Health Plans)
  • Coventry Health Care of Georgia
  • Coventry Health Care of Iowa & South Dakota
  • Coventry Health Care of Kansas
  • Coventry Health Care of Nebraska
  • Coventry Health Care of North Carolina (formerly WellPath)
  • CoverTN
  • Cover Florida
  • Charter Oak Health Plan
  • CoverColorado
  • D
  • Destiny Health Plan *
  • Dean Health Plan
  • E
  • Empire Blue Cross Blue Shield of NY
  • Excellus Blue Cross Blue Shield of Rochester *
  • F
  • Fortis Health (now Assurant)
  • Fallon Health Plan *
  • FirstCare
  • Family Health Plus
  • FiServ Health
  • Fairmont Specialty Group
  • G
  • Geisinger Health Plan
  • GoBlue
  • Golden Rule
  • Group Health Cooperative
  • Group Health Incorporated
  • Group Health Plan
  • Guardian/Health Net
  • Great West HealthCare
  • H
  • HealthAmerica of Pennsylvania (Central, Western & Ohio)
  • Health Net of California
  • Health Net of Arizona
  • Health Net of Oregon
  • Health Plan of Nevada
  • HealthPartners
  • HIP
  • Horizon Blue Cross Blue Shield
  • Humana
  • Harvard Pilgrim *
  • Healthspring *
  • Health Alliance Plan of Michigan *
  • Hawaii Pacific Health
  • Health First Health Plan
  • HealthFirst of New York
  • HTH (International)
  • Hawk-I
  • Healthy Indiana Plan
  • I
  • Independence Blue Cross Blue Shield *
  • Intermountain Health Plan
  • International Medical Group (International)
  • International SOS (International)
  • Insure Oklahoma
  • J
  • John Alden (A Fortis Health Co.)
  • John Deere Health Care
  • K
  • Kaiser Permanente of California
  • Kaiser Permanente of Colorado
  • Kaiser Permanente of Georgia
  • Kaiser Permanente of Oregon
  • Kaiser Permanente of Ohio
  • Kaiser Permanente of the Mid- Atlantic States, Inc.
  • Keystone Blue Cross Blue Shield *
  • Kanawha Insurance Company*
  • KPS Health Plan
  • L
  • LifeWise Health Plan of Oregon
  • LifeWise of Arizona
  • Lifewise of Washington
  • Lovelace health Plan
  • M
  • Medica
  • Medical Mutual of Ohio
  • Midwest Security
  • Monumental Life
  • MEGA Health *
  • Mountain State Blue Cross Blue Shield *
  • MAMSI
  • Molina HealthCare
  • MVP Health Plans
  • Mercy Health Plan
  • Medex (International)
  • MinnesotaCare
  • N
  • Nationwide Health Plans
  • New York Life
  • National Health Insurance Company
  • Neighborhood Health Plan
  • O
  • Oxford Health Plans
  • Optimum Choice
  • Optima Health
  • ODS Alaska
  • ODS Health Plan of Oregon
  • P
  • PacifiCare of California
  • PacifiCare of Colorado
  • PacifiCare of Arizona
  • PacifiCare of Oregon
  • PacifiCare of Nevada
  • PacifiCare of Oklahoma
  • PacifiCare Vision
  • Personal Care
  • Preferred One
  • Principal Life Insurance Company
  • Premera Blue Cross of Washington *
  • Premera Blue Cross Blue Shield of Alaska *
  • Providence Health Plan
  • PacificSource Health Plan
  • PrudentChoice (health discount plan)
  • Priority Health
  • Q
  • Qualchoice *
  • R
  • Regence BlueShield
  • Regence BC/BS of Oregon
  • Rocky Mountain Health Plan *
  • S
  • Security Life Insurance Co. of America
  • Sierra Health Plans *
  • SCAN Health Plans
  • SelectHealth
  • SummaCare
  • State Farm Health
  • T
  • Torchmark *
  • Tufts Health Plan *
  • Tufts Secure Horizons *
  • Time Insurance
  • TrustMark Insurance Company
  • U
  • UNICARE Life & Health Company
  • United Wisc. Life Ins./Am. Medical Sec.
  • Univera *
  • United Health Care Group *
  • UCare *
  • United American Insurance Company *
  • UPMC Health Plan *
  • Unity Health Plan
  • Unison Health Plan
  • V
  • Vista Health Plan (now Coventry Health Care of Florida)
  • VIVA Health
  • W
  • Washington Basic Health Plan
  • Wellmark Blue Cross Blue Shield of Iowa *
  • Wellmark Blue Cross Blue Shield of South Dakota *
  • Wellpoint Inc.
  • World Insurance Company
  • WellChoice
  • Wellpath (now Coventry Health Care of North Carolina)
  • X
  • Y
  • Z

Each insurance company has its own criteria for surgical treatment and procedures, and policies change frequently. We will work with your insurance company on your behalf and submit all required information to expedite their approval process, so you'll know in advance what is covered.

What is an “Exclusion?”

Unfortunately, many policies have “Exclusions” written into them regarding certain surgical treatments. This means that even though the treatment may be “Medically Necessary”, it is not a covered benefit. Industry leaders are working diligently to make national changes regarding coverage and Medicare’s announcement of national coverage may help the push for all insurance companies to provide coverage. If your policy has an “Exclusion”, there is little that can be done. There are some options you may want to evaluate:

  • You may have to change policies, if this is an option, during open enrollment from the HMO to the PPO, although there is no guarantee that the other policy will cover your surgery.
  • You may have to change to a spouse’s policy.
  • You may have to finance or privately pay the surgery (please call our office for details).

Surgical treatments are a covered benefit under many insurance policies. Coverage depends on what type of policy you have and the terms within the policy. Each insurance policy can vary greatly, even if different policies are issued by the same insurance company.  Your employer and the insurance company determine the benefits available to you.

 
         

Houston Spine Surgeons  |  Dallas Spine Surgeons  |  Houston orthopedic specialist  |  Dallas Pain Management  |  St. Louis Pain Management

 

Patient Resources

Anatomy of The Lower Back  -  Misdiagnosing Low Back Pain  -  Functions of The Low Back  -  Before Your Surgery  -  After Spine Surgery

Spine Surgery Questions  -  Anatomy of The Spine  -  Back Pain Definitions  -  Obesity and back pain  -  Orthopedic Surgeons  -  Spine Surgeons

Back Pain Myths  -  Back Pain Medication

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