The first step toward patient
insurance approval
MyCartilage Care can provide patient support by helping to manage the insurance process. It offers:
- Patient benefit investigation
- Predetermination and prior authorization management
- Reimbursement support
STEP 2:
Select the patient’s insurance carrier and confirm the specific medical inclusion criteria
STEP 3:
Fax the enrollment form and all supporting documentation to
855-803-9485
Resources to assist with approvals and denial appeal can be found at:
MyCartilageCare.com/approval
- Insurer inclusion/exclusion criteria
- Dictation guide for common insurer inclusion criteria
- Letter of Medical Necessity assistance
- Peer-to-Peer guidance
- Patella clinical review
- Reimbursement guide
For assistance with patient insurance approvals, call your MyCartilage Care Case Manager at 877-872-4643 or visit MyCartilageCare.com/approval
insurance approval success rates*
MACI insurance approval specific to patella cases:
- 84% Approved on initial submission (25-30 days)
- 4% Approved on appeal (+20-25 days)
- 10% Not appealed & 2% Denied after appeal
MACI is widely reimbursed and included on a majority of national insurance plans. To see a list of insurers, please visit MyCartilageCare.com/approval.