The Orthopedic Blog

Is Shoulder Surgery Covered by Insurance

Posted on Mon, May 27, 2013 @ 11:05 AM

Is Shoulder Surgery Covered by Insurance

Shoulder surgery is recommended when a person’s rotator cuff is badly injured or torn. Once surgery is done and rehabilitation is completed, the patient can get back to his normal daily routine once more, particularly an active sports schedule. Here are several things that people should know about a shoulder injury and other related matters.

Rotator Cuff

A rotator cuff is a large tendon that consists of four (4) muscles – subscapularis, supraspinatus, teres minor, and infraspinatus. All these muscles form a cuff above the upper arm and theyIs Shoulder Surgery Covered by Insurance derive from the wing bone and scapula.

What Does It Do

Rotator cuffs allow both a person’s arms to rotate normally, move up and down, as well as to perform various tasks, for instance, lifting of an object, performing sports that involve the shoulders (swimming or tennis), and exercising.

How Does One Determine if the Rotator Cuff is Injured or Torn

A person who has extreme pain in his shoulder should definitely consult an orthopedist as soon as possible. Orthopedists can run a number of significant tests to find out if the shoulder is injured or the rotator cuff has incurred a tear. If the tear is serious, an orthopedist will recommend shoulder surgery to fix the damages properly.

Does it Hurt During Surgery?

Patients are normally put under anesthesia, especially if it is a serious tear. This allows them to feel absolutely nothing during shoulder surgery. If the injury is not too severe, the surgeon may probably numb the surrounding area, so that the patient does not feel any pain.

Are Shoulder Surgeries Covered by Insurance?

A shoulder surgery is normally covered by the medical insurance. However, it all depends on the patient’s specific insurance carrier. Patients need to find out beforehand if their insurance carrier covers surgical treatments and if their insurance plans include this particular type of coverage. Some insurance plans only cover consultations and medications, while others cover everything, such as consultations, medications, surgeries, and the rehabilitation costs.

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Topics: shoulder surgery