Some Medicare, Medicaid, and commercial health plans provide coverage for minimally invasive sacroiliac (SI) joint fusion procedures. Your plan may require a written authorization prior to surgery. If your plan approves the request, an approval letter from your plan will be provided to you and your surgeon.
To determine if minimally invasive SI joint fusion is covered under your health plan, you can:
- Contact your plan’s Member Customer Service Department to ask if the procedure is covered under your plan and to inquire about the specific steps to initiate a prior authorization request.
- Review your health plan’s website, read your plan's policy manual, or request your employer’s Summary of Benefits and Coverage document.
- You may need to call your health plan to find out where you can find this information on your plan’s website or request a copy to be mailed to you.