Support Programs Created Specifically for MACI Patients
If your doctor has considered you someone who could benefit from MACI knee cartilage repair, they may have already taken a biopsy of your knee cartilage during an arthroscopic procedure.
So, what’s next? MyCartilageCare can help you navigate the MACI insurance approval process.
Contact a MyCartilageCare Case Manager to begin receiving personal guidance with:
MyCartilageCare Case Managers are here for you.
For comprehensive support tailored to your individual insurance requirements and treatment goals call 877-872-4643 9 AM–7 PM EST Monday through Friday
MACI insurance approval rates and timelines*
MACI knows that every insurance policy is different and that each patient’s specific cartilage damage and personal history are unique. To better help you understand how insurance with MACI works, here is some general information on MACI insurance approval rates and timelines.
89% of all MACI surgeries were approved by the insurer on the first try
5% Not appealed
5% Approved on appeal
1% Denied after appeal
After deciding to move forward with MACI, insurance coordination and approval typically takes 25–30 days
Insurance appeals, as needed, take approximately 20–25 days*
*Data on file, Vericel Corporation. MACI cases activated between January 2021 and December 2021. Insurance approval is defined as payor pre-authorization for the MACI procedure.
This information is not intended to guarantee coverage or reimbursement. Check with your insurance provider regarding coverage or your health care provider with any questions.
MACI is covered by most insurance plans. Should you and your doctor decide to move forward with MACI treatment, a dedicated MyCartilageCare Case Manager is available to coordinate insurance coverage.
Be sure to note if you are in the military or if this is a Workers’ Compensation claim.
Talk with real patients about their experience with MACI
Hear about real personal experiences with knee cartilage damage and MACI. The MACI Mentor Program gives you an opportunity to connect one-on-one with real people who have had the MACI procedure.
“Thanks to MACI, I am close to being back in the best shape of my life, and each day I’m getting stronger and feeling better.”
—Chris, MACI patient
Individual results may vary
See Chris’s and others’ stories about how MACI has helped them get back to their active way of life.
Introducing the My MACI App
This customizable tool lets you keep track of where you are at in the process and helps guide you along your rehabilitation. Download today to stay motivated and ready to move through your recovery journey!