Well ... plenty of health insurance companies won't pay for hearing aids, either and I'm reasonably sure they work. Most of them pay for a limited amount of chiropractic annually and it's really something that, if you are treating chronic conditions, is going to be ongoing. Okay, here's one, Synvisc. There have been studies proving giving the stuff more frequently than every six months is actually beneficial, potentially postponing knee replacement surgery, try to get them to pay for Synvisc more often than twice a year though. I mean, PRP is "relatively new" in this country and the reality is it doesn't always work for everyone. Now, is that a function of the patient or the practitioner, I don't know (a lot of the success of PRP really is about how skilled the doctor is). More people respond to it for arthritis than for what I had done and I did end up having about twice the amount of sessions than was originally planned.I've been to three people--two foot/ankle specialists and one Physiatrist DO and all three have basically said let's try PRP.
I don't get why the insurance companies won't pay for it--because there's no peer reviewed science behind it? Surely there's other stuff that they pay for that has a similar amount of study behind it.
If there was a drug company that stood to make billions off it, there would be peer reviewed studies "proving" it's effectiveness. But because there isn't tons of money to be made on it (it's just equipment that gets used), there's no push for more studies of it.
If money's keeping you from doing it, here's my philosophy: So far I've had seven PRP sessions that have averaged around $1,000 each, a couple were $850 but I usually end up getting multiple joints done simultaneously and you only pay an extra $250 when you multiple joints done because he only needs one surgical kit.
If I had surgery on my shoulders they would have only done one at a time. The LEAST out of pocket that could possibly have cost me was $3,000, that's my annual deductible. I'm not sure if there would have been any actual percentage of a share of a hospital stay and so forth. The recovery for shoulder surgery is at least six months so the odds are I would have had to have my shoulders operated in two years. So if I had gone the surgical route it was guaranteed to cost me $6,000 out of pocket, and the recovery is much, much worse.
Now that I'm treating my knees, and it's going to be an ongoing thing, I am afraid of what's going to happen down the road when I can't afford to throw $2,000 a year away, which is why I'm getting my knees treated a little more frequently in the hope of being in a better condition if money becomes an issue down the road.

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