Knock knees, also known as genu valgum, are a common condition where the knees angle inward and touch each other when standing straight. This condition can cause discomfort and pain and even lead to joint problems. If you have knocked knees, you may wonder if surgery is an option and if hit-and-knee surgery is covered by insurance.
Knock knee surgery is an orthopedic surgery that can correct the alignment of the knees. However, the surgery cost can be a significant concern for many patients. With the rising cost of healthcare, it’s essential to know if your insurance covers the procedure.
If you’re considering knock knee surgery, you must know if your insurance plan covers the cost. This article will discuss knock-knee surgery, available types, and whether insurance covers the procedure. We’ll also provide tips on navigating the insurance process and finding the right coverage for your needs.
Does insurance cover knock-knee surgery?
Insurance often covers knock knee surgery, also known as surgery for genu valgum, because it is typically considered a medically necessary procedure due to the physical discomfort and mobility issues it can cause. However, the specifics of the surgery and the individual’s insurance plan can significantly vary the extent of coverage and the out-of-pocket costs.
Knock knee surgery can cost anywhere from $5,000 to $10,000 or more, and insurance may cover a portion. You should contact your insurance company beforehand to inquire about the coverage details. Additionally, evaluating the expenses associated with various surgeons and medical facilities can help minimize the cost of knock knee surgery, as the exact plan and coverage influence the amount covered by insurance.
Furthermore, it is advisable to understand your insurance policy and work closely with medical professionals and insurers to ensure the best possible outcome for your condition, as insurance coverage for knock knee surgery may vary based on individual policies and medical necessity.
Does insurance cover kneecap replacement?
Insurance companies will generally cover the cost of knee surgery if it is deemed medically necessary. Your doctor must document that the operation is required to treat a medical issue like knee discomfort or arthritis.
If your knock knees are aesthetic and do not create medical difficulties, your insurance may not pay for surgery.
Even if your insurance covers knee surgery, you may still have to satisfy your deductible and pay some expenses. Your insurance and operation will determine your out-of-pocket costs.
Consult your doctor and insurance provider to determine if knee surgery is covered. Ask about probable out-of-pocket charges so you can plan.
Knock-knee surgery is covered by insurance.
When does insurance cover this surgery? Here’s what you need to know:
The severity of the condition is significant.
The severity of the knock-knee condition is a significant factor when it comes to insurance coverage for surgery. Insurance companies typically cover knock-knee surgery when the condition is severe and affects a patient’s quality of life. If the condition is mild or moderate, insurance may not cover the surgery, which may be considered cosmetic.
Age of the Patient
Insurance companies often evaluate the patient’s age when evaluating knee surgery coverage. Children who have knock knees may be covered by insurance since the condition can affect their growth and development. However, the surgery for knocked knees in adults may not be covered by insurance since it is considered cosmetic.
The medical necessity of the surgery is also a vital factor regarding insurance coverage. Insurance may cover the surgery if the knock-knee condition is causing pain, difficulty walking, or other medical issues. However, if the surgery is only for aesthetic purposes, insurance may not cover it.
It’s crucial to understand your knock-knee surgery insurance policy’s coverage. Some policies may cover the surgery, while others may not. It’s critical to review your policy carefully and contact your insurance provider to determine coverage for the surgery.
Is there an age limit for knock knee surgery?
Knock knee surgery’s age limit varies depending on the patient’s health and condition. However, most surgeons recommend waiting until the patient has stopped growing, typically around age 16 for girls and 18 for boys. This is because the surgery involves realigning the bones in the legs, and any further growth could undo the surgery results. Additionally, the surgeon will evaluate the patient’s bone density and overall health to determine if they are a good candidate for the surgery. Ultimately, the decision to undergo knock-knee surgery should be made in consultation with a qualified orthopedic surgeon.
Does Medicaid Cover Knock Knee Surgery?
The answer to this question is yes or no. The extent to which Medicaid will cover knock knee surgery depends mainly on the severity of the case. Generally speaking, if left untreated, it can become a significant issue and require surgical correction to eliminate pain and promote mobility. Suppose surgical intervention is necessary due to underlying muscle imbalances or joint distortions. Medicaid coverage would likely cover the surgical intervention in such cases.
However, if you have mild knock knees that do not affect your daily life and cause no pain or discomfort, most Medicaid plans probably wouldn’t cover them, even if you need corrective surgery as an aesthetic or elective procedure. Suppose you want your knock knees diagnosed with x-rays and corrected through surgery for cosmetic reasons. In that case, you should expect any associated out-of-pocket expenses.
Is knock-knee surgery worth it?
- corrects the alignment of the legs
- reduces pain and discomfort
- improves mobility and function
- improves appearance and self-esteem
- Risks associated with surgery, such as infection, bleeding, and anesthesia complications
- Recovery can be lengthy and requires physical therapy.
- Surgery may not completely correct the problem or may result in overcorrection.
- Cost of surgery and potential for insurance not to cover it
Knock knee surgery has side effects.
1. Pain and Swelling: Pain and swelling following knock knee surgery can last weeks or months.
2. After surgery, the movement of the knee may be restricted.
3. Numbness or Tingling: Some patients report numbness or tingling in the affected leg or foot.
4. Infection: Rarely, patients may develop surgical site infections.
5. Blood Clots: Leg vein blood clots can be fatal if not managed after surgery.
6. Knee stiffness: After surgery, patients may have trouble moving their legs.
7. Implant Failure: Knock knee implants can fail, requiring extra surgery.
8. Adverse Reaction: Some patients may react adversely to anesthesia or other drugs used during surgery.