Does Insurance Cover Fibroid Removal?

At Alate Health Interventional Radiology Clinic, we prioritize accurate diagnostic evaluations for uterine fibroids to deliver effective and personalized treatment plans. Comprehensive imaging allows our interventional radiology team to assess the size, location, and number of fibroids, enabling precise, minimally invasive treatments.

Transvaginal Ultrasound

This non-invasive procedure serves as the cornerstone for fibroid evaluation.

• Provides detailed imaging and accurate measurements for treatment planning.
• Detects multiple fibroids and evaluates their proximity to critical uterine structures, ensuring procedural precision.

Magnetic Resonance Imaging (MRI)

We use state-of-the-art MRI technology for high-resolution insights, particularly in complex fibroid cases.

• Differentiates fibroids from other conditions, ensuring accurate diagnoses.
• Evaluates impacts on adjacent organs, aiding advanced interventional procedures or surgical planning.

Hysterosalpingography (HSG)

Primarily a fertility assessment tool, HSG also identifies submucosal fibroids that may affect the uterine cavity. This imaging supports our comprehensive fertility evaluation services.

Hysteroscopy

This minimally invasive procedure provides direct visualization of the uterine cavity.

• Diagnoses and assesses submucosal fibroids with precision.
• Offers a clear view of the uterine lining for targeted intervention planning.

Contrast-Enhanced Ultrasound

Enhancing diagnostic accuracy, this technique improves blood flow delineation within fibroids:

• Distinguishes benign fibroids from other uterine lesions, supporting precise treatment.

Computed Tomography (CT) Scans

While not a primary diagnostic tool for fibroids, CT scans are available for specific scenarios requiring broad tissue assessment:

• Useful when MRI options are limited or other conditions are suspected.

Selection of Imaging Tests

We begin with transvaginal ultrasound for its effectiveness and non-invasive nature. For complex cases, MRI provides further characterization. Hysteroscopy, HSG, contrast-enhanced ultrasound, and CT scans are utilized based on the patient’s clinical needs. By combining advanced imaging modalities, we ensure tailored, evidence-based approaches to managing uterine fibroids, enhancing both safety and therapeutic outcomes.

Uterine fibroids, also known as leiomyomas, are noncancerous growths in the uterus. While their exact cause remains unclear, factors such as genetics, hormonal imbalances, and lifestyle choices might contribute to their development. Understanding the cost of fibroid treatment is essential for making informed healthcare decisions. Here’s a breakdown of factors affecting the cost of fibroid treatment, with a focus on the services offered at Alate Health Interventional Radiology Clinic

1. Type of Treatment:

• Uterine Fibroid Embolization (UFE): As a leading interventional radiology clinic, we offer Uterine Fibroid Embolization, a cutting-edge, minimally invasive procedure. UFE involves blocking the blood supply to fibroids to shrink them, offering an effective alternative to surgery. The cost of UFE at our clinic typically ranges from $10,000 to $20,000, providing a cost-efficient solution that minimizes recovery time and hospital stays compared to traditional surgical options.

2. Geographic Location:
Being located in a metropolitan area may influence healthcare costs. Alate Health Interventional Radiology Clinic is committed to providing competitive pricing while maintaining high standards of care.

3. Insurance Coverage:
Insurance can significantly influence out-of-pocket costs for fibroid treatment. We work closely with various insurance providers to maximize coverage for our patients. Our team is available to assist you in understanding your insurance benefits and the potential costs involved.

4. Provider Expertise:
 Our team of experienced interventional radiologists ensures high-quality care. The expertise and advanced training of our specialists may affect costs but also enhance treatment outcomes and patient satisfaction.

5. Co-existing Conditions:
During your consultation, our team will assess any co-existing conditions, such as anemia or heavy bleeding, to tailor a comprehensive treatment plan. Additional tests and treatments, if necessary, will be discussed to provide a clear understanding of potential costs.

Fibroid removal, or myomectomy, addresses non-cancerous growths that may cause heavy menstrual bleeding, pelvic pain, or fertility issues. At Alate Health, we offer minimally invasive techniques for effective fibroid management, aligning with modern medical practices.

Insurance Coverage for Fibroid Removal

Navigating insurance coverage can be complex. We help patients understand their insurance plans and how they apply to treatment options. Coverage typically depends on medical necessity, determined by our providers based on the severity of symptoms and health impact.

Advanced Treatment Options

• Uterine Fibroid Embolization (UFE): A minimally invasive procedure that shrinks fibroids by blocking their blood supply. Most insurance plans cover UFE as an alternative to invasive surgeries like hysterectomy.
• Focused Ultrasound Surgery: Uses high-frequency sound waves to destroy fibroid tissue. Coverage varies, but our team works with insurers to confirm eligibility.
• Myomectomy and Hysterectomy Referrals: While we specialize in less invasive treatments, we refer patients for these surgeries when necessary. We assist in verifying insurance benefits and ensure continuity of care.

Insurance Exclusions and Guidance

Patients should review their insurance plans to identify exclusions or limitations. Our administrative team assists with clarifying coverage details, including pre-authorizations and potential out-of-pocket expenses like deductibles or copayments.

Ensuring Comprehensive Coverage

Before treatment, we encourage patients to consult their insurance providers for a complete understanding of benefits. We prioritize clear communication with patients, providers, and insurers to ensure a seamless, financially manageable treatment experience.

At Alate Health Interventional Radiology Clinic, we provide personalized fibroid treatments tailored to each patient’s needs. By considering the size and location of fibroids, as well as symptoms, age, and reproductive goals, we ensure the most effective and appropriate care.

Fibroid Size and Treatment Options

• Small Fibroids (<2 cm): Typically managed with a watchful waiting approach and symptom relief through hormonal contraceptives.
• Medium Fibroids: Minimally invasive uterine artery embolization (UAE) is a preferred option. UAE reduces fibroid size by blocking blood supply, offering symptom relief while preserving the uterus.
• Large Fibroids (>6 cm): Treatment depends on fertility goals. UAE is a favored less invasive solution for those not planning pregnancies, providing an alternative to hysterectomy.

Location-Specific Fibroid Treatments

• Submucosal Fibroids: Advanced imaging and UAE are used to address heavy bleeding and menstrual irregularities without surgery.
• Intramural Fibroids: UAE offers a non-surgical alternative to myomectomy, effectively relieving pelvic pain, pressure, and urinary symptoms.
• Subserosal Fibroids: Located on the uterine surface, these fibroids can also be treated with UAE to alleviate pain and pressure, minimizing impact on nearby organs.

Collaborative Care

Our interventional radiologists collaborate closely with patients, discussing all available options to align treatments with individual health goals and lifestyles. Whether prioritizing fertility preservation, managing symptoms, or choosing minimally invasive solutions, Alate Health Interventional Radiology Clinic ensures tailored, informed care that empowers patients to make the best decisions for their health. For more details, contact us today or book an appointment online. We have convenient locations to serve you on Hermann Drive Houston, TX, and Gulf Freeway Houston, TX. We serve patients from Hermann Drive Houston TX, Gulf Freeway Houston TX, Bellaire TX, Deer Park TX, Pasadena TX, Montrose TX, Pearland TX, Houston Heights TX, and surrounding areas of Texas.