What to know about insurance coverage

What to know about insurance coverage for the Symplicity™ blood pressure procedure

It is important to remember that the Symplicity™ procedure is an innovative treatment, and coverage policies are still evolving. As with other treatments, insurance coverage can vary. To learn more about coverage and requirements for your specific plan, contact your insurance company.

Note: When speaking with your insurance company, the Symplicity™ procedure may be called renal denervation.

Before scheduling the Symplicity™ procedure

Your doctor may need to request pre-approval from your insurance company before you can have the Symplicity™ procedure. When pre-approval (also known as prior authorization) is required, your insurance company will review its coverage policies and information from your doctor to determine if the procedure will be covered. This may take a couple of weeks and does not require any action from you besides confirming that your doctor has your most up-to-date insurance information. Pre-approval may not be available or necessary with all insurance companies or plans.

Appealing to your insurance company

If you receive an insurance denial for the Symplicity™ blood pressure procedure, you’re not out of options. Many insurance companies offer an opportunity to request an appeal or reconsideration of the denial. It can be submitted by you or your doctor. Appeal processes and timelines can vary, but insurance companies can take 30 or more days to review appeals. Please refer to the pre-approval denial letter for appeal information specific to your insurance company and plan. If you are considering an appeal for the Symplicity™ procedure or would like to support your doctor’s appeal, you may find the following resource helpful:

Questions?

If you have questions on the pre-approval or appeal process, or to check the status of a request, please contact your insurance company at the phone number on the back of your insurance card.