Prior Authorization

Most insurance companies require that you or your doctor requests “prior authorization” before they cover the Acessa procedure.

In the request, the doctor describes the nature of the patient’s condition and why it is necessary to perform the Acessa procedure. The insurance company reviews the request and makes a determination regarding insurance coverage under the patient’s insurance plan. This determination is either an “approval” of the prior authorization or a “denial,” which means the insurance company explicitly is not committing to paying for the procedure being requested.

Good news: if you get a denial, there is typically an option to appeal it. And you don’t have to do it alone.

Insurance Appeals

If you are facing an appeal with your insurance denials while struggling with fibroid symptoms, the experience can be overwhelming. We have a team of insurance specialists who are here to help. The physician offices have successfully helped dozens of patients overturn denials. Although we cannot guarantee approvals or coverage, physician offices are here to support you in the process.

If you are a patient who is concerned about your insurance covering the Acessa procedure, have experienced an insurance denial or have been denied access to the Acessa procedure through your commercial or Medicaid plan, we have resources for you.