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Reimbursement
US Insurance Reimbursement for HIFU Treatment
Insurance Claims Filing Services (ICFS – www.icfstx.com)
specializes in assisting US citizens with filing insurance when
care has been received internationally. They have had some success
in securing reimbursement for a number of HIFU patients. Many
policies differ in their details, however, so it should be noted
that past success with a particular company does not guarantee
future results with the same company.
US patients who only have Medicare or Medicaid should know that
these two agencies do not reimburse for procedures performed
outside of the United States. Patients who have any other insurance
plans, including secondary plans or other government plans, could
potentially be approved.
If ICFS is able to secure reimbursement at some level from your
insurance company, their fee is 15% of the amount collected.
If nothing is recovered, there is no fee for their services.
We are aware of nearly 100 patients with coverage from 46 different
insurance companies (listed in the table below) who have received
full or partial reimbursement for HIFU. All instances of reimbursement
have occurred following the procedure. To date, there have been
no pre-approvals prior to treatment.
Insurance companies that have reimbursed for at least
a portion of HIFU treatment expenses:
Aetna
Anthem BCBS in Indiana
Anthem BCBS in Missouri
Anthem BCBS in Nevada
Anthem BCBS in Ohio
Anthem BCBS in Wisconsin
Anthem Health Plans of Maine
Anthem Health Plans of New Hampshire
BCBS of Arizona
BCBS of California
BCBS of Colorado
BCBS of Connecticut
BCBS of Florida
BCBS of Georgia
BCBS of Iowa
BCBS of Kansas
BCBS of Kentucky
BCBS of Maryland
BCBS of Massachusetts
BCBS of Michigan
BCBS of Minnesota
BCBS of New Jersey
BCBS of North Carolina
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BCBS of Oklahoma
BCBS of Pennsylvania
BCBS of South Carolina
BCBS of Tennessee
BCBS of Virginia
Catalyst Healthcare
Empire BCBSGreat West
Health Net
Highmark BCBS
Horizon BCBS
Lifewise
Mid-West Life
National Foundation Life
Nationwide Insurance
Oxford Health
Physicians Care of CA
Regence BS of ID
Regence BS of WA
Rocky Mountain (Anthem BCBS in Nevada)
State Employee Insurance
Tricare
United Healthcare |
If you are interested in pursuing potential insurance
reimbursement following your Ablatherm HIFU treatment,
please contact either Amy Fuentes or Nancy Guardado at Insurance
Claims Filing Service (www.icfstx.com). The
main phone number is 713-937-1875. Amy can be reached at
extension 13 or via email at amyf@icfstx.com . Nancy
can be reached at extension 11 or via email at nancyg@icfstx.com. To
expedite the process, have your insurance card handy when you
call.
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