Why Insurance Does Not Cover PRP

Health insurance claim forms

Platelet-Rich Plasma (PRP) Therapyis a form of therapy that can assist in the recovery and healing of tissue for specific injuries and medical conditions. From osteoarthritis and torn ligaments to hair regrowth and rejuvenated skin, PRP is being used to help improve people's lives in many different situations. However, people still question why insurance companies do not cover this form of therapy.

With medical advancements for PRP Therapy, this therapy continues to make progress with what medical conditions it can help. The more research and clinical trials are being done, the closer we are to finding a way for it to heal several conditions.

Unfortunately, there is still a tremendous gap between discovery and full coverage by insurance companies regardless of the countless benefits it has been shown to have on thousands of patients who are willing to pay for this therapy. Still, full coverage for treatment can happen soon because of the extensive research.

If you are ready to learn more about how PRP can help you recover from an injury or a health condition, call Vitality Integrative Wellness in Temecula at (951) 386-3399 to schedule an appointment today.

There could be numerous reasons why insurance companies do not cover PRP Therapy. PRP Therapy is not a recent discovery, as it has been around since the 1970s to help people with bone marrow transplants for conditions like leukemia and sickle cell anemia. It involves a surgical procedure that insurance companies may cover.

Unfortunately, non-surgical PRP injections are not covered because insurance companies consider them to be “experimental” based on what seems to be a lack of evidence on specific procedures by the FDA. However, “experimental” therapies are typically conducted during clinical trials, and we are not conducting clinical trials. We offer highly effective PRP Therapy to patients who qualify after a thorough medical examination. This therapy is FDA-cleared, and it is not available to everybody.

What does this mean for you?

While some insurance companies may cover the initial cost of the consultation or examination, they will not cover the cost of PRP at most clinics. Luckily, at Vitality Integrative Wellness in Temecula, our patients have the options of our financing programs to help cover the cost of most procedures.

How much does PRP cost?

The cost per session will significantly depend on the following:

  • Number of therapies
  • Severity and extent of medical condition
  • Length of time with problem
  • Number of areas to improve

To learn more about how PRP can help you recover from an injury or a health condition, call Vitality Integrative Wellness in Temecula at (951) 386-3399 to schedule an appointment today.

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