Is Uterine Fibroid Embolization Covered By Insurance?

If you’re considering Uterine Fibroid Embolization (UFE) to treat your fibroid symptoms, you most certainly have many questions. “Will I have to stay overnight in the hospital?” “Is the procedure painful?” “How long will my recovery be?”

One question that may also be on your mind—“Will my insurance cover UFE?”

Although all insurance companies and policies differ, the answer is most likely yes. You may be responsible for a portion of the cost—depending on your individual plan, your deductible amount, and what percentage of the cost will be paid by the insurance company—but UFE is covered by most insurance providers.

Before having any procedure, of course, you should do your homework and check with your insurance provider to verify your plan and benefit coverage. Know ahead of time what your financial responsibility will be and if you’ll need any specific referrals or preauthorizations before undergoing UFE.

Be sure to ask your health insurance provider the following:

  • Is a referral by my primary care physician required for consultation with a radiologist?
  • Is my interventional radiologist considered in-network?
  • Is pre-certification required for UFE’s pre-procedural pelvic MRI?
  • Is pre-certification required for my UFE procedure?

At Interventional Physicians of Indiana, we are here to help with all aspects of your fibroid treatment—including the financial part. We will work with you to submit your health insurance claim and will try to answer any questions you may have about your coverage. We participate with many medical groups to provide healthcare service to their HMO members and PPO healthcare plans.

We are in-network with a number of health insurance providers. You can find a general list of insurance providers we work with here. However, be sure to check with your provider directly to verify your specific plan and benefit coverage.