Is uterine fibroid embolization (UFE) covered by insurance?

Dr. John C. Lipman, MD

Gynecology

Yes. Uterine Fibroid Embolization (UFE) also known as Uterine Artery Embolization (UAE) is routinely covered by insurance payors including Medicare and Medicaid. Depending on the individual plan, will determine how much the patient will be responsible for following the procedure. Most plans have an amount (called the deductible) which the patient will need to pay before insurance coverage kicks in. After that, a certain percentage will be paid by the payor (typically 70-100%). Whatever remaining percentage there is (if any) is the patient's responsibility to pay.

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Uterine Fibroids

If you have uterine fibroids, you may never even notice that they are there. Ranging from the size of a small seed to grapefruit-sized, fibroids are tumors on the uterus that rarely cause harm. Some women have true discomfort with fibroids, including pain in the abdomen or low back, or pain during sex. Sometimes, uterine fibroids can cause miscarriage, preterm labor, or even lead to infertility. Women in their 40s and 50s, women of African-American descent and women that are overweight are at higher risk of developing fibroids, although an estimated 20-80% of women will have them at some point before they turn 50. If your doctor notices fibroids during an ultrasound or pelvic exam, he or she may want to treat them with medication or surgery.

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