Calf implants - will insurance pay?
Thank you for asking about your calf implants.
- I am sorry you had club feet and glad you have had corrective surgery.
- Calf implants are a standard procedure to correct the visible effects of club feet -
- It is worth submitting an insurance pre-determination form but don't get your hopes up -
- No insurer, so far, has paid for this operation in my practice on the grounds that it is cosmetic, not functional.
- Surgery places a soft, solid implant over the muscle -
- It can be done as an outpatient.
- Recovery takes at least two full weeks and often longer to feel you are walking normally -
- Until then, it is painful when you start walking and your knees are bent.
- I would be honored to see you in consultation by Skype or in person.
- My office is 2045 Peachtree Road, NE, #412, Atlanta, GA 30309 404.941-3200
- We arrange our schedule so that we can usually see consultations within 2 weeks.
- Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
Calf implants for club feet
Although calf implants are your only reliable and permanent option for adding bulk/symmetry to your calves, all health insurance providers consider this purely cosmetic, not functional, and thus will not pay. Please read on for more general details:Fat transfer will NOT work, period! Surgical prices vary by region, surgeon reputation, and surgical experience. However, very few plastic surgeons specialize in this operation so you may have to travel a long distance to one that does. The implants are made of soft semi-solid silicone rubber and placed surgically through a small (3/4 inch) incision in a natural crease behind the knee. When the implants are properly sized and placed under the muscle fascia, they should blend in and look natural. There are too many critical nerves and blood vessels under the muscle to risk this technique. All surgery comes with post-operative pain and recovery. For calf implants, the first two weeks after surgery is the most difficult time because walking is painful. Recovery usually progresses at a smooth steady pace from there. Glad to help.
Calf implants are the only effective treatment for small calfs as a result of congenital club feet. Whether insurance will pay for calf implants because of your condition can not be accurately predicted. This requires a predetermination letter with pictures to the insurance company. My experience has not been positive in that regard since the implants do not provide a functional benefit (improve your ability to walk) or relieve any painful symptoms.