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Does insurance cover UroLift?

You have been suffering from symptoms of benign prostatic hyperplasia (BPH) for years and are excited about everything you have heard about UroLift as a treatment option. This outpatient surgery typically takes less than one hour to complete and can provide immediate relief of painful or embarrassing symptoms. Before you schedule the surgery, it’s important to check with your insurance provider regarding coverage. The good news is that more insurers are covering UroLift all the time thanks to its high rate of effectiveness.

UroLift and Medicare

BPH disproportionately affects older men, many of whom have Medicare as their primary means of coverage for health expenses. Medicare in several regions of the country already cover UroLift and several others are considering it. Additionally, Medicare does not require men to seek prior authorization before scheduling the procedure as it is covered. If you have questions about coverage, please get in touch with us to speak with our authorizations specialist.

Private Insurance Carriers

Most private health insurance companies in the United States require prior authorization to receive this outpatient surgery. Our trained authorization specialist will work directly with your insurance company to obtain authorization; we are fully trained and aware of all insurance companies medical criteria for the Urolift procedure.

If the prior authorization is denied due to medical necessity not met and your records indicate otherwise, then we will work directly with you to assist in an appeal process.  There are very few insurance companies who do not cover this procedure and consider it experimental. If this is the case we will advise you right away of an alternative.  Contact our office today to inquire if Urolift is a covered benefit with your current insurance carrier.

Learn More About The Procedure

Here at Bellingham Urology Group, we’re proud to announce that we’ve been recognized as a UroLift Center of Excellence by UroLift.com. You can learn more about our procedure here.

UroLift Treatment