You could be a candidate for HFX if...

  • You haven’t found relief with other treatment options like pain medication, injections, surgery, or a traditional spinal cord stimulator
  • You have nerve-related chronic pain
  • Your pain is in your back, trunk, legs, and/or arms

How much does HFX Cost?

HFX is covered by all major insurance plans including Medicare.

 

At the time of your HFX consultation, in most cases you can expect to pay your regular copay cost for a specialist visit.

Insurance information

Select your insurance type to learn more about cost and coverage for HFX.

Commercial health insurance

• All major commercial insurance plans cover HFX
• This includes Aetna, Humana, United, Cigna, and Blue Cross Blue Shield
• Just like any medical procedure, typically you can expect to pay the cost of any unmet deductible for the year, along with any copay or coinsurance fee required for a procedure, as detailed in your unique plan benefits

Medicare

• Medicare and all Medicare Supplemental/Medicare Replacement insurances cover HFX
• While there is a coinsurance amount for Medicare, if you have Medicare Supplemental insurance, you can expect to pay even less

Medicaid

• Most states’ Medicaid policies and Managed Medicaid plans cover HFX (e.g. Marketplace/Health-Exchange plans)
• It’s important to check to see if your physician accepts this type of insurance

Veterans

• HFX is available for veterans and active-duty military members or their families at select VA and military hospitals across the US
• Talk to your local VA provider to see if HFX is offered or if there are local community care physicians who offer HFX in your area

Workers comp

• Workers comp, in all states except Washington, provides coverage for HFX

Paying without insurance

• HFX can be paid for out-of-pocket, and many physicians offer out-of-pocket discounts for people who don’t have insurance
• For the most accurate answer, it’s best to ask the physician you’re working with to determine what your out-of-pocket costs will be

Replacing your current spinal cord stimulator

• Replacing your current spinal cord stimulator with HFX is covered by most insurance plans
• It’s important to check the specifics with your physician and insurance carrier

You have support from the HFX Access Team

You have a dedicated team of insurance specialists called the HFX Access Team who will provide support throughout the complete insurance approval and coverage process.

This team takes the time to fully understand your specific situation and is committed to improving your access to the chronic pain treatments you need.

Patient Authorization forms can be found here