KNEEtalk

The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - Articular cartilage repair => CARTILAGE REPAIR - ACI & MACI (autologous/matrix-induced autologous chondrocyte implantation) => Topic started by: kframe96 on January 13, 2011, 08:31:29 AM

Title: Maci covered by Bupa?
Post by: kframe96 on January 13, 2011, 08:31:29 AM
Hi,

Does anyone know if Bupa will cover the maci surgery? I had it 4 years ago but cigna refused to pay so I had to pay myself. I may need it again as I have damaged the graft playing football!
Title: Re: Maci covered by Bupa?
Post by: Vickster on January 13, 2011, 10:12:16 AM
I believe they do.  When I went through a recent ordeal to get my health insurance company to cover it (they did finally agree but with a lot of information needed from the surgeon), the surgeon's secretary said BUPA do cover.  However, does your policy cover pre-existing conditions?  I guess you need to call BUPA and ask, as it may depend on the terms of your own policy?  Has your surgeon said that it is definitely needed?

After all my hassle, I wasn't suitable in the end!  ::)

Good luck with getting it sorted  :)
Title: Re: Maci covered by Bupa?
Post by: kframe96 on January 13, 2011, 11:10:09 PM
Vickster,

Thanks for your reply. I believe it does cover pre existing, as they just paid for an arthroscopy relating to it! I only changed insurer as Bupa now provide the cover (through my employer) as my employer changed it's supplier.

As you say, I am not sure I need it yet, visiting the doc again in 3 months to assess my recovery further. Fingers crossed. Was looking for some kind of peace of mind as I had to pay 13k last time, I could definitely not afford to do that again!

Thanks for your best wishes, hope your knees are doing well!