Does Insurance Cover Sacral Neuromodulation Axonics Therapy?

TL;DR:

  • Axonics Therapy is a FDA-approved treatment offering relief for bladder issues. It uses gentle electric pulses to stimulate the sacral nerve, improving brain-bladder communication.
  • A small device placed near the tailbone sends pulses, reducing bladder leaks and urgent bathroom trips.
  • Sacral neuromodulation, which the therapy employs, helps bladder nerves work appropriately.
  • It offers long-lasting results (battery life over 15 years) and improved everyday activities. It can be trialed for two weeks.
  • It's an ideal choice for those who haven't had success with other treatments or frequently experience bladder issues.
  • Implantation includes a trial phase to test its effectiveness, with quick procedure time for full implant.
  • Study results show 90% improvement in patients, many becoming completely dry.
  • It's covered by major insurance plans and Medicare, contingent on unsuccessful use of other treatments.
  • Some patients report rare mild side effects, while many note significant quality of life improvement.

Navigating the complexities of insurance coverage can be daunting, especially when considering innovative treatments like sacral neuromodulation with Axonics Therapy. At Continence Center at Nevada Surgical, led by Dr. Kent Sasse, we're dedicated to providing clarity on this crucial aspect. If you've ever asked, "Does insurance cover Sacral Neuromodulation Axonics Therapy?" you're in the right place. In this article, I will break down the ins, outs, and specifics of insurance coverage for Axonics Therapy to ensure you are well-informed and confident about your treatment options. Keep reading to discover how you can benefit from this cutting-edge solution and the steps to secure coverage for your procedure.

Understanding Sacral Neuromodulation and Axonics Therapy

What is Axonics Therapy?

Axonics Therapy offers relief for bladder issues. It uses gentle electric pulses to improve communication between the brain and bladder. This helps reduce leaks and frequent urges.

How Does Axonics Therapy Work?

A small device is placed near the tailbone. It sends pulses to the sacral nerve, which controls the bladder and bowel. This improves bladder function, reducing leaks and urgent trips to the bathroom.

Many people try pills or Botox first. Pills often cause dry mouth and confusion. In contrast, Axonics targets the root problem and provides long-lasting relief.

Understanding Sacral Neuromodulation (SNM)

Sacral neuromodulation uses mild power to help bladder nerves work. It calms misfiring nerves, helping them send correct signals again.

Many patients feel life-changing relief. It improves everyday activities like shopping without fear of leaks.

Benefits of Axonics Therapy

Axonics is special because it offers long-lasting results with a battery life of over 15 years. It allows for swimming, showering, and airport checks with ease. Plus, you can try it for two weeks to see if it works for you.

FDA Approval and Axonics

The FDA approved Axonics in 2019 for conditions like urge incontinence and fecal incontinence. It meets strict safety standards, making insurance approval easier.

Ideal Candidates for Axonics Therapy

Ideal candidates include those who have tried other treatments without success. Axonics is a great option for those who frequently rush to the bathroom or experience leaks.

Implantation Process

The trial phase tests the therapy’s effectiveness. If successful, a full implant replaces the trial device. The procedure is quick, allowing same-day recovery.

Study Results and Effectiveness

Studies show 90% of patients see significant improvement, and many become completely dry. Axonics is durable, reducing the need for additional surgeries.

Insurance Coverage for Axonics

Most major insurance plans cover Axonics if other treatments fail. Ensure that all necessary documentation is submitted to secure coverage.

Medicare and Axonics

Medicare covers Axonics if other options are unsuccessful. Proper documentation and meeting certain criteria ensure coverage.

Cost Considerations

With insurance, out-of-pocket expenses vary based on deductibles and copays. Without insurance, the therapy can be costly but may offer long-term savings by reducing medication and pad use.

Patient Concerns and Reviews

Some patients report mild side effects like site pain, but these are rare. Most find Axonics significantly improves their quality of life.

Conclusion

While Axonics Therapy involves an initial cost, it offers a powerful solution to incontinence. With improved bladder control, many regain confidence and freedom from leaks. If medications haven't worked, Axonics can be a life-changing choice.

Conclusion

Sacral neuromodulation with Axonics Therapy treats incontinence and improves bladder control. This therapy has FDA approval and boasts promising outcomes. While insurance, including Medicare, often covers it, check your specific plan for details. Costs vary, but financial help is available. Patients report satisfaction, though some have concerns. Axonics Therapy aims to reclaim your life by restoring control and confidence. Consider this treatment if conservative methods don't work. Together, we can chart a path to well-being and dignity.

Ready to take control of your bladder health and regain your confidence? Discover how Axonics Therapy can be a life-changing solution for you. Learn more about this innovative treatment and see if it's the right fit for your needs. Contact The Continence Center at Nevada Surgical today to start your journey towards improved quality of life.

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