Plan a visit
Tell us what you need. We’ll show whether it’s covered, whether your doctor takes your plan, what it really costs where you live, and what to do before you go.
Answers for:
Work at a doctor’s office?
Here as a patient?
Tell us what you need. We’ll show whether it’s covered, whether your doctor takes your plan, what it really costs where you live, and what to do before you go.
Is it covered?
Surgery you need for a medical reason is usually covered, after prior authorization and your share of the cost.
Prior authorization is commonly required. Confirm your clinician has submitted it and it was approved before care. Most non-emergency surgeries need prior authorization: confirm the procedure code and facility are approved.
For employer or Marketplace plans. Full answer and sources · Check against my own plan
Will your doctor take your plan?
Add a doctor above to check them against your insurer’s directory.
Find in-network orthopedic surgeon near youBefore you go
Ask whether it needs prior approval
Your doctor’s office requests it. Without it, the plan can refuse to pay.
Make sure every provider is in network
Out-of-network care can cost far more or not be covered at all.
Get a written estimate
Ask the office for the billing codes and an estimate. Uninsured or paying yourself? You’re entitled to a good-faith estimate.