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 process.
Contact a MyCartilageCare Case Manager to begin receiving personal guidance with:
Insurance
support
Treatment
education
Biopsy
storage
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
Considering MACI?
See if you qualify for assistance.
MyCartilageCare Assist CoPay Program is a copay assistance program for eligible adult patients who are undergoing surgery with MACI to repair their knee cartilage damage.*
*Click here for Terms and Conditions and Eligibility Requirements. Restrictions apply. Call 877-872-4643 to speak with a Patient Care Representative who can guide you through the application process. The MCC Assist CoPay Program is for eligible patients 18 years or older with commercial/private insurance. The program is not valid for patients enrolled in or covered under any government healthcare insurance programs. The program provides assistance with the out-of-pocket costs for the MACI implant only.
MACI insurance approval rates and timelines*
Every insurance policy is different and 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
7% Not appealed
3% 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*
MACI cases activated between January 2023 and December 2023. Data on file. Insurance approval is defined as payor pre-authorization for the MACI procedure. Coverage, coding, and payment information is provided for informational purposes only and is subject to change. Nothing contained herein is intended, nor should it be construed, to suggest a guarantee of coverage or reimbursement for any product or service. Check with the individual insurance provider regarding coverage. Providers should exercise independent clinical judgment when selecting codes and submitting claims to reflect accurately the services rendered to individual patients.
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 help coordinate the insurance process.
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.
To speak with a MACI Mentor, call 1-888-237-5493 or click here
“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*
*Paid testimonial by a MACI patient. Individual results may vary.
Watch Jo go from uncertainty about how to handle her knee cartilage damage, to taking on MACI like any other training challenge.
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!
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!
Kayla, MACI patient