Stem Cell Therapy isn’t covered by insurance.

This is what we have been explaining to everyone. People are talking about this concern on the evening news, local newspapers, our own social media accounts and from countless potential patients as they visit our clinic. People are not happy about this. More and more people are learning about stem cell therapy and they are very interested in avoiding surgical procedures. However, for most people the biggest factor that holds them back from avoiding surgery and healing their joints naturally comes down to insurance coverage.

We understand that you are paying for health insurance so you want to use your coverage, but why isn’t stem cell therapy covered! People want answers. Before we go into why Stem Cell Therapy I’ll explain how insurance companies operate and why they exist.

Insurance Companies Are Businesses

A lot of people forget why insurance companies exist in the first place. To generate profits. The insurance companies tell you that health insurance will buy you peace of mind. They try to tell you that they are looking out for your best interest and to provide quality of life. In many ways the insurance companies are very helpful and are a blessing. However, insurance companies operate for the purpose of making a profit for their shareholders. In fact, according to U.S News Health, the largest 125 health insurers collected $744 billion in 2013 premiums.

Overall, people purchase insurance to protect themselves from an unexpected event. If there is a possibility that an occurrence could occur then you are either denied coverage or are considered “risky” and will have to pay a higher insurance premium. The insurance companies do hope that nothing ever happens to you. They don’t want to pay your medical bills. But as of now it wouldn’t be the best business decision to cover stem cell therapy. Stem cell therapy is so new and it’s not a procedure that would necessarily take place as a result from an unexpected event.

Why Isn’t Stem Cell Therapy Covered

According to health.usnews.com,

“When considering reimbursement, the Affordable Care Act mandates that insurers not discriminate against licensed health care providers, including those who practice alternative medicine, such as naturopaths, massage therapists and acupuncturists. But that isn’t the same as requiring coverage

Health insurers can limit coverage they deem experimental or not medically necessary, and they often do. Aetna, for example, says it considers alternative interventions medically necessary only “if they are supported by adequate evidence of safety and effectiveness in the peer-reviewed published medical literature.”

Since stem cell therapy is such a new procedure insurance companies are classifying this procedure under the experimental category as mentioned above. It has nothing to do with effectiveness of the procedure. You have to assume that any new medical advancement takes a while to be released to the public. New drugs especially take a while to be accepted by insurance companies.

For example, on average it takes 12 years for a new drug to go from the lab to the shelves at CVS. That’s only if the new drug even makes it to market. Only 5 in 5,000 new drugs ever make it to the shelves for consumer purchase. Out of the drugs that did make it to market think about all of drugs that pass that have a long list of side effects. Sometimes half of the drug’s commercial is spent telling you the side effects.

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Stem cell therapy has no side effects at all. There have been thousands and thousands of stem cell procedures completed and there have been no adverse side effects. The video above is for a drug that entered the market to help people quit smoking. However, the side effects (suicide, depression, skin reactions) almost seem worse for you than what the drug treats. It’s obvious that with stem cell therapy the issue is the timing. Unfortunately stem cell therapy is too new to be covered by health insurance. However, the future may be promising. There are other alternative medicine procedures that are covered by insurance. In the next few years why shouldn’t stem cell therapy be covered as well?

If you are discouraged by the fact that stem cell therapy isn’t covered by health insurance we understand your frustration. We wish it were covered by insurance too. However, you should still consider stem cell therapy as an option. Read about the real costs of knee replacement surgery. Visit the Stem Cell Professionals in York, Pa and receive a no pressure consultation.

References

US News Health (2015, March 9). Does Your Health Insurance Cover Alternative Medicine?[Blog post]. Retrieved from http://health.usnews.com/health-news/health-insurance/articles/2015/03/09/does-your-health-insurance-cover-alternative-medicine