In many cases, Medicare covers diagnostic laparoscopy or laparoscopic surgery. The amount you pay out of pocket will depend on whether the procedure is done on an inpatient or outpatient basis, and your type of Medicare coverage.
Diagnostic laparoscopy is a minor surgical procedure that can help those with endometriosis, certain cancers, pelvic inflammatory disease, a variety of disorders and chronic pelvic pain. The removal of ovarian cysts, fibroids, and the uterus is another common reason for this procedure.
Laparoscopy surgery is also beneficial for evaluating ovary cancer, uterus cancer, and cervix cancer.
How Medicare Covers Laparoscopy
Most laparoscopies under Medicare Part B have medical coverage; meaning it applies to outpatient procedures. However, Part B won’t pay the full cost.
You’ll still be responsible for a small deductible, plus you will pay 20 percent of the cost as coinsurance. In some cases, your provider may charge you an additional fee as “excess charges.”
If you have a laparoscopy while you are a hospital patient, it’ll usually have coverage under Medicare Part A’s hospitalization coverage. Part A has a deductible, and you’ll begin paying daily coinsurance starting on the 61st day of hospitalization.
Those having laparoscopic bariatric surgery to lose weight, you’ll have to meet additional requirements before Medicare will pay for the procedure.
These include having a BMI higher than 35, having another chronic health condition, and failing to lose weight in a medical weight loss program.
Your benefits are the same if you have a Medicare Advantage plan; although, you may have different copays and coinsurance. In addition, you’ll pay more by not using a doctor within the plan’s network.
What is a Laparoscopy
Medicare covers laparoscopy, which is minimally invasive surgery in the abdominal area. While traditional abdominal surgery involves a long incision and a long recovery period; however, laparoscopy is done by making a small cut near your belly button and inserting a hollow tube.
A small video camera called a laparoscope at to the end of the tube, allowing a doctor to see inside the abdominal cavity.
Your doctor may make additional small cuts to insert other instruments. Additionally, these instruments can be used to do biopsies, inject dye, or conduct certain surgeries.
Laparoscopies are usually done under general anesthesia, so the procedure itself is not painful.
Afterward, your incisions may feel sore and you may also have shoulder pain because of the carbon dioxide used in the procedure. You’re can usually go home a few hours after a laparoscopy.
The Purpose of a Laparoscopy
Laparoscopies have two purposes: to diagnose ailments involving the abdominal area and its organs and to perform surgery.
Diagnostic laparoscopies are usually done when doctors cannot get enough information from other, non-invasive tests like x-rays and ultrasounds.
Typical reasons for a diagnostic laparoscopy include:
- Learning what’s causing pain or growth in the abdomen or pelvic area
- Finding out whether internal organs were injured in an accident
- Finding out whether cancer has spread
Doctors can conduct biopsies as part of the laparoscopic procedure, and they may use laparoscopy to treat endometriosis, ovarian cysts, and fibroid tumors.
Medicare covers Laparoscopy surgery that treats several abdominal conditions.
- Gall bladder removal
- Ulcerative colitis
- Crohn’s disease
- Colorectal cancer
- Hysterectomy and tubal sterilization
- Bariatric surgery for weight loss
Laparoscopic surgery is as safe as traditional surgery. Traditional surgical patients usually have a longer recovery time than laparoscopic patients. Also, laparoscopic patients tend to have shorter recovery times with less pain and scarring.
How a Medicare Supplement Covers Laparoscopy
Medigap plans work alongside traditional Medicare.
A Medigap plan won’t cover procedures that Original Medicare doesn’t cover; however, it’ll pay some or all the out of pocket costs you would have to pay with just Medicare alone.
For example, if you have Medicare Supplement Plan G, the Medigap plan will pay your 20 percent coinsurance, plus any excess charges. The only payments are monthly premium and an annual deductible.
Get Medicare Covers Diagnostic Laparoscopy
Having Medicare alone isn’t enough coverage; enrolling in a Medigap policy means you get coverage when Medicare leaves you responsible for the bill.
Nobody wants to pay 20% of tens of thousands of dollars; Medigap ensures you don’t pay outrageous coinsurance payments or deductibles.
Call an agent today to discover the best policy for you, contact us at the number above. If you don’t have time to call right now, fill out the online rate form and compare rates.
There’s a Medicare plan for every budget, and MedicareFAQ can help you find the one that’s right for you. Call us or fill out our form to get your free quote.