Answers to common questions about reimbursement
Minimally invasive surgical fusion of the SI joint is not universally covered by insurance companies. Some insurance companies require prior authorization before they cover iFuse. Prior authorization involves the surgeon making a request for coverage to an insurance company. The surgeon describes the nature of the patient’s condition and why it is necessary to perform the iFuse procedure. The insurance company reviews the request and makes a determination as to whether it will be covered under the patient’s insurance plan.
SI-BONE Patient Insurance Authorization Workbook - This comprehensive guide provides a clear explanation of the insurance approval and appeals process. It also contains sample patient letters and state and federal advocacy resources for potential iFuse procedure candidates.
Patient Insurance Authorization Form for the iFuse Implant System - In connection with its ongoing efforts to facilitate patient access to its technologies by providing education and training to health care professionals, SI-BONE Inc. is pleased to provide certain assistance designed to help you obtain patient coverage decisions from third party payors. Before any assistance can be provided, the attached Patient Authorization Form must be signed by the patient (or the patient’s parent/guardian) and must be received by SI-BONE. Download and complete the form above, or fill out the online form.
Registration Form to Request Support - If you are a patient experiencing an insurance denial, and are interested in Patient Insurance Coverage Support (PICS), please contact us today by filling out this online form. You may also download the form here.