ACA Health Insurance: What You Need to Know About Coverage for Tonsillectomy
A tonsillectomy is a surgical procedure to remove the tonsils, which are two small glands located at the back of the throat. Tonsillectomies are commonly performed to treat chronic tonsillitis, which is a condition characterized by repeated infections of the tonsils.
Does ACA Health Insurance Cover Tonsillectomy?
Yes, ACA health insurance plans cover tonsillectomy if it is deemed medically necessary. Medically necessary means that the procedure is necessary to treat a medical condition, such as chronic tonsillitis.
What is Covered?
ACA health insurance plans typically cover the following costs associated with a tonsillectomy:
The surgeon’s fee
The hospital or surgical center fee
Anesthesia
Medications
Follow-up care
What is Not Covered?
ACA health insurance plans typically do not cover the following costs associated with a tonsillectomy:
Travel expenses
Lost wages
Childcare
How to Get Coverage
To get coverage for a tonsillectomy, you will need to contact your health insurance company and ask if the procedure is covered under your plan. You will also need to provide your doctor with a referral for the procedure.
If you are uninsured or underinsured, you may be able to get coverage through a government program such as Medicaid or Medicare.
Conclusion
A tonsillectomy is a common surgical procedure that is typically covered by ACA health insurance plans. If you are considering having a tonsillectomy, be sure to contact your health insurance company to verify your coverage.
Question? or Need a Free Quote?
Contact Us
Reach out to us for free expert insurance advice and solutions. We will help you solve ACA (Obamacare) related questions and problems. Will contact you within 24 hours of receiving your message.