Will Insurance Pay for My Vasectomy Reversal?
For most men, a vasectomy reversal is not covered by your insurance. Insurance companies think it is not medically necessary. They do not want to pay for correcting a decision that you now regret.
How to find out.
Because there are thousands of insurance plans and so many variations within each plan, you will have to call your insurance company and find out if your specific plan will cover “outpatient microsurgical vasovasostomy” (code # 55400).
You are approved! … maybe.
Even if they say that a reversal is covered, as they often do, please know that it usually is not and they refuse to pay later on. It’s one of those fine print things buried deep in the contract that no one ever reads. Even if they tell you “yes,” they really are saying is that outpatient surgery is usually covered. The problem is that they almost always deny payment later on after the surgery. The department that says it is covered is not the same department that writes the check, and they are not bound to pay.
Even if they do “approve” the reversal, they may pay only a few hundred dollars for a several thousand-dollar procedure, as the insurance company gets to decide how much they think is reasonable and customary. Some insurance plans try to direct you to their “in plan” doctor to do the reversal, even if he’s not trained, skilled or experienced.
How we work with you.
ICVR is not contracted with any insurance company or government/military or veterans agency. We cannot hire several more employees just to file and re-file hundreds of claims with months of challenges and battles with companies all over the US and around the world. Instead, we have you pay for your reversal and then you can apply to your insurance for reimbursement. We can give you a copy of your operative note to help you.
If you have questions, please call our full-time, reversal only center at 888-722-2929 or email us at email@example.com.