Is Shoulder Surgery Covered by Insurance?

The answer is yes, 100% of the time.

If you have insurance and the proper indications, you’ve done the proper things preoperatively, and if those things are necessary for your shoulder surgery, the vast majority of the costs will be covered by insurance. Reviewing your policy details early on is a smart step in your pre-operative home prep so you can understand your specific coverage limits. For patients exploring a same day shoulder surgery, navigating the authorization process smoothly ensures that your focus remains entirely on your upcoming recovery timeline.

In my practice, I don’t have a contract with Medicare, I do have a fee associated with my surgery with patients. However, the bulk of the procedure, the hospital anesthesia, post-operative care, etc., are still covered by insurance. With our private insurance, it’s the same scenario. So, the answer is yes.

Yes, most of the costs for your surgery will be covered by insurance, but there will always be some out-of-pocket costs for all procedures, such as deductibles or co-insurance. It depends on your insurance provider and a million other factors. But yes, most of the time, it’s covered. Partnering with a highly specialized Dallas Shoulder Surgeon and an experienced billing team will help you clear these administrative hurdles seamlessly before your procedure.

Don’t wait to address your shoulder problems. Call Dr. Kevin Kruse at (469) 717-6183 for an appointment.