How Much Is Knee Surgery

About Blue Cross Blue Shield Association

The Blue Cross and Blue Shield Association is a national federation of 35 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Indexsm. For more information on BCBSA and its member companies, please visit BCBS.com. We also encourage you to connect with us on , check out our videos on and follow us on .

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

How Much Will A Knee Replacement Cost In Australia As A Public Patient

The total cost to get a knee replacement depends on the procedure required. The Medicare Benefits Schedule lists several knee replacement procedures for which it will provide a benefit of 75% of the fee listed if you are a public patient. For example, the total replacement arthroplasty of knee including patellar resurfacing and/or revision of patello-femoral joint replacement to total knee replacement is listed as $1,371.25, with the MBS covering $1,028.45, leaving the patient $342.80 out of pocket.

While Medicare will generally cover 75% of the cost of your knee replacement procedure, its worth considering that opting to have the procedure done through the public system may involve a significant wait. Data from the Australian Institute of Health and Welfare showed that in the 2019-20 period, more than half of public patients waiting for a total knee replacement waited for 223 days with just under 10% waiting for more than a year.

Having a knee replacement done through the private system could potentially involve a shorter wait but on the flip side you may incur greater out-of-pocket costs.

Aflac Benefits Estimator Source Information

Listed here is a collection of the source information for illness and injury costs. Please note that the information contained in the Aflac Benefits Estimator is for illustration purposes only costs will vary based on your individual circumstances and treatment.

Costs of diagnosis and treatment are based on:

Transport Ambulance Ride : $366.00

Also Check: Nano Knee Cost

Ial Or Total Knee Replacement Surgery With Clearpoint Health Network

Patients from across Canada and all over the world choose Clearpoint Health Networks private surgery clinics for partial or total knee replacement surgery. Our orthopedic surgeons have years of experience and achieve excellent results for our patients. We are committed to helping you regain full motion in your knee so that you can go back to your daily activities and live pain free. We strive to provide exceptional pre- and post-operative care. We aim to provide all our patients with a compassionate, caring, and rewarding experience. Clearpoint Health Network is a network of accredited private healthcare clinics across Canada, with centres in Toronto, Vancouver, Winnipeg, and Calgary. Contact us to receive rapid access to the knee surgery you need, so you can go back to living a healthy and active life.

Hospital Stay And Surgery

Youll receive separate bills for a TKR. As discussed above, the hospital will bill you for your stay, time spent in the operating room, and other applicable hospital services, supplies, and equipment used.

Providers will bill you for procedure charges that cover services provided by the surgeon, as well as:

• anesthesia

• any tools and treatments the physical therapist uses
• outpatient follow-up

Don’t Miss: Knee Brace Infomercial

Stay Connected With Your Surgeon

Lajam asks her patients to come in for an x-ray, or at least call and check in, every year or two for life. Mechanical pieces can fail, or you could trip or fall and knock something loose and damage it and make it wear faster, she said.

If your implant gets worn or damaged, you can consider a revision knee replacement surgery. Whats a revision knee replacement surgery? Its a procedure to replace some or all of the artificial joint if it becomes damaged or worn. Surgeons can replace just the plastic piece if thats whats needed, or the entire implant if the damage is more severe.

The Knee Replacement Surgery Recovery Timeline

Lajam tells her patients that for the first two weeks they wont like her very much, then they start getting motion back, getting around and seeing the pain dissipate. The first two weeks is the toughest part, then it starts getting better, she said. Severe pain after knee replacement surgery can be managed with medication.

Physical therapy can help you recover after knee replacement surgery. It improves your range of motion, reduces swelling and helps you learn to walk again.

Bending ones knee on ones own is difficult its helpful to have someone help you, Lajam said. She said her patients typically have in-home physical therapy a couple of times a week, with instructions on exercises after knee replacement surgery to do on their own. And after the first few weeks, most people switch to outpatient physical therapy.

Lajam says that your body tends to recover around the three-month mark. But your knee will continue to heal for more than a year after surgery.

You May Like: Ginger Poultice For Knee Pain

Knee Replacement Cost In Different Countries

The graph compares the knee replacement price of the USA with that of Singapore, Thailand, Mexico, and India.

The knee replacement cost is less in countries like India, Mexico, or Thailand. However, you may need to spend several thousand dollars on flight tickets, hotels, and related expenses to undergo knee replacement surgery overseas.

Our package prices are much less than the average cost for knee replacement across the USA. Therefore, you no longer need to travel great distances for uninsured knee surgery.

What Surgeries Does Aflac Cover

SURGERY BENEFIT: Aflac will pay according to the benefits in the Schedule of Operations in the rider when, due to a covered Sickness or Injury, a Covered Person has a surgical procedure, including a vaginal or cesarean delivery, performed in a Hospital or an Ambulatory Surgical Center and a charge is incurred for such

Read Also: How To Whiten Your Knees Fast

Knee Replacement Range Of Motion: Post Surgery

Not only do people have different ROM potentials, to begin with, people also heal at different rates. With that in mind, here is the Knee Replacement Range of Motion, based on studies of some total knee replacement patients.

Stage 1 65-90° flexion. This amount of flexion allows for walking without any assistance, standing, and some stair climbing . Before you leave the hospital, your doctor will be looking for flexion as close to 90°.

Stage 2 115° flexion. At this point, you should have made noticeable improvements from your early recovery days. This means moving around normally, bending to the ground, sitting down, and even tying shoelaces!

Stage 3 A goal to hit 115°- 120 Degree Knee Flexionor greater should be the aim. The timeframe for this varies but should be consistently working towards. A flexion of 125° is great and 135° is excellent .

Throughout each stage of the Knee Range of Motion Chart, its important that you keep working on your surgical knee and artificial knee prosthesis. The first 3 months of your recovery are critical for working out your new knee to gain back flexibility and movement.

If you stay idle, inconsistent, or not fully committed to gaining back range of motion, your knee may become stiff. If your knee becomes stiff, you risk the need for revision surgery and a joint that will cause lifelong issues.

You Might Refer Reading to Joint Replacement Patna

Reasons For The Procedure

Knee replacement surgery is a treatment for pain and disability in theknee. The most common condition that results in the need for kneereplacement surgery is osteoarthritis.

Osteoarthritis is characterized by the breakdown of joint cartilage.Damage to the cartilage and bones limits movement and may cause pain.People with severe degenerative joint disease may be unable to donormal activities that involve bending at the knee, such as walking orclimbing stairs, because they are painful. The knee may swell or”give-way” because the joint is not stable.

Other forms of arthritis, such as rheumatoid arthritis and arthritis thatresults from a knee injury, may also lead to degeneration of the kneejoint. In addition, fractures, torn cartilage, and/or torn ligaments maylead to irreversible damage to the knee joint.

If medical treatments are not satisfactory, knee replacement surgery may bean effective treatment. Some medical treatments for degenerative jointdisease may include, but are not limited to, the following:

• Anti-inflammatory medications

• Cortisone injections into the knee joint

• Viscosupplementation injections

• Weight loss

There may be other reasons for your doctor to recommend a knee replacementsurgery.

You May Like: Flying After Knee Replacement Surgery

How Much Does Aflac Pay For Short Term Disability

What will you do if at some point of you life, some part of body stops functioning like your legs or arms. It will not be possible for you to maintain your monthly groceries, household bills and other monthly expenses. In this situation Aflac short term disability plan can come as a rescue option for you and your family.

Benefits will be paid for only one Disability at a time, even if the Disability is caused by more than one Sickness, more than one Injury, or a Sickness and an Injury.

Aflac will pay for short term disability as per the following table:

Also Check: Why Do My Knees Pop When I Squat

What Contributes To The Average Cost For Knee Replacement Surgery Without Insurance

The cost of a TKR can vary widely. It depends on where you live, which clinic you choose, and your overall health. Many factors can contribute to the total cost of knee replacement surgery.HealthlineUnderstanding Knee Replacement Costs: Whats on the Bill?The bill for a total knee replacement has both pre- and postsurgery cost, as well as the price of the surgery itself, with charges including: presurgery doctor visits and lab workthe surgery and the time your hospital staypostsurgery doctor visitsphysical therapyView in Article These include:

It is challenging to predict the TKR surgerys cost before treatment begins with several factors involved. Therefore, you should talk to your surgeon to determine the expected costs of surgery and aftercare beforehand.

Read Also: Lock Knee Joint

The Cost Of Hip & Knee Replacement

Patients often have questions surrounding the cost of a joint replacement procedure, whether they have insurance or are paying entirely out-of-pocket. This is not surprising, as those costs can vary drastically depending on the surgeon and the facility they use. Often, patients dont know the cost upfront until they get the bill.

Dr. Andrew Wickline is one of the few surgeons offering upfront pricing for hip and knee replacements for patients who wish to pay for surgery out of pocket, with or without the use of insurance. Here he answers some common questions on why surgery costs vary so much, how he is able to offer upfront pricing, and how patients can benefit from self-pay hip and knee replacement.

How Much Is A Knee Replacement Without Insurance

Typical costs: For patients without health insurance, a total knee replacement can cost $35,000 or more. However, some medical facilities offer uninsured discounts. At the Tulane University Hospital and Clinic, an uninsured patient would pay a discounted price between $29,335 and $34,050.

You May Like: Bioknee Cost

How Does Aflac Work For Surgery

AFLAC will pay benefits according to the Schedule of Operations when a covered person has a surgical operation performed for a covered sickness in a hospital or ambulatory surgical center. Only one benefit is payable per 24-hour period for surgery even though more than one surgical procedure may be performed.

What Should I Consider In Knee Surgery Cost After I Am Discharged From The Hospital

You may be sent home with prescription medications to manage pain, and reduce the risk of blood clots or infection. You will probably have one or more follow-up appointments with your surgeon. You may also need physical therapy or other rehabilitation services for a few weeks after the procedure.

Although there is generally no coverage under Original Medicare for prescription medications you take at home, Part B typically pays 80% of allowable charges for all medically necessary doctor visits and physical or occupational therapy services you need after your surgery. Part B usually also generally covers durable medical equipment such as a cane or walker if your doctor orders one for you to use during your recovery. Its a good idea to discuss your after-surgery care with your doctor so you know what to expect and can better plan for your out-of-pocket expenses.

In some cases, your doctor may recommend a brief stay in a skilled nursing facility after your knee replacement. In order to be eligible for Part A skilled nursing facility coverage, you must have a qualifying hospital stay of at least three days prior to your admission. If your stay is covered, you pay nothing for the first 20 days of skilled nursing facility care there is a daily coinsurance amount applied to days 21 and beyond.

Recommended Reading: Can Knee Replacement Cause Neuropathy

What Is Supplemental Insurance

Supplemental insurance is additional coverage that you can use to help with the out-of-pocket expenses that may not be covered by your major medical insurance. Have you ever had expenses not covered by your major medical plan? Thats where Aflac comes in.

Aflac is voluntary insurance, or an optional layer of financial protection. And with healthcare costs on the rise, more Americans than ever are seeking an extra financial safety net for unexpected medical expenses.

Getting Ready For Surgery And Recovery

Once you and your doctor have decided that its the right choice for you, you can start to prepare.

You want to be as healthy as possible going into surgery thats a key part of how to avoid complications. Losing weight, improving fitness and managing your medical conditions can help.

Wang said some people start prehab and do exercises to prepare for knee replacement surgery. These exercises strengthen the muscles around the knee, so recovery is easier.

Of course, exercise is tough when your knees ache. Lajam says exercising in a pool can help. Water exercises help strengthen the legs, improve aerobic capacity and aid in weight loss. People get hooked on it. They cant wait to get back into the pool after surgery, she said.

Your doctor will likely recommend a physical and a pre-op visit to talk about the surgery and recovery. At your pre-op visit, be sure to cover the questions to ask before knee replacement surgery.

Ask about:

As your surgery date approaches, your doctor will review your medications and supplements and recommend those you should take or stop taking before your procedure.

Its a good idea to get your home ready so its easier for you to recover after surgery.

Consider:

You want to make sure youre setting everything up so youre not worrying about things. You want to be focusing on getting better, Lajam said.

You May Like: How To Reduce Swelling In Knee Quickly

What Is Knock Knees

Also known as genu valgum, knock knees is a condition where your knees turn inward while your ankles stay separated.

This condition is normal among young children who are under the age of 6.

However, if the child is older than the age of 7 and their genu valgum is persistent or worsening it is most likely due to one or more underlying condition.

Certain underlying conditions can also cause knock knees to develop later on in a persons life like when they reach adulthood.

In most cases, once the underlying problem is treated knock knee correction will be achieved.

We Break Down What You Can Expect To Pay And Have Covered By Insurance For A Knee Replacement

Its that time youve exhausted all medications, injections, exercise, physical therapy and non-surgical procedures for nonstop knee pain and youve decided that knee replacement surgery is your solution. A quick Google search can scare you and your knees right back into bed! Thats why our orthopedic specialists at Heekin Clinic in Jacksonville think its important to supply you with the cost information you need to make an informed decision about how to tackle the expense of a partial or total knee replacement surgery.

Were sure this wont shock you, but the cost of knee replacements can vary. First of all, it depends what kind of replacement surgery youre having whether its a partial knee replacement, total knee replacement or bilateral knee replacement. And, if you have any kind of preexisting condition that may complicate the surgery, the actual procedure and price may differ. In addition to the actual surgery, recovery costs such as a hospital stay and physical therapy must also be factored in to the total cost of your knee replacement surgery.

Read Also: Best Knee Brace For Basketball Meniscus

Whats The Cost Of A Knee Replacement Surgery

The cost varies. The average cost of knee replacement surgery with insurance in the U.S. will depend on your coverage, copays and deductible. A Blue Cross Blue Shield study found claims of just over $11,000 to almost $70,000, depending on where the surgery was performed.

Your surgeons office can work with you to calculate how much of the cost Medicare or your insurance company will cover and how much will fall to you.

In Case If You Are Unable To Work And Not In The Hospital But In Isolation At Home Aflac Short

In Order to get Cover in this case Documentation with a positive presumptive diagnosis code will be necessary, including both employer and physician statements indicating you are disabled, not working and, if applicable, not receiving 80%* of your pay or in the case of group products, 60%* of your pay. Any required elimination period would need to be met as outlined by the policy. Benefits for events other than disability will be paid as outlined in the policy.

Don’t Miss: How To Get Rid Of Dark Spots On Knees