Why a straight yes or no would be misleading
Insurance decisions turn on details that are specific to you: your plan and its benefit design, the diagnosis code involved, medical-necessity criteria, whether the provider is in network, and whether prior authorization applies. Two people in the same neighborhood with the same heel pain can get different answers.
Any website that flatly declares shockwave "covered" or "not covered" is either guessing or describing one plan and generalizing it.
Questions worth asking your insurer
- Is extracorporeal shockwave therapy a covered benefit for my diagnosis?
- Does it require prior authorization or documentation of failed conservative care?
- Is this provider in network for my plan?
- What would my deductible, copay or coinsurance responsibility be?
- Is there a visit limit for related musculoskeletal care?
Questions worth asking the clinic
- What are your current fees for evaluation and for treatment?
- Do you bill insurance for this service, or is it self-pay?
- What payment options are available?
- Can you provide documentation I could submit to my insurer?
What we will never do
Publish coverage claims, reimbursement rates or insurance policies we have not been given by the clinic. If you read a specific coverage statement anywhere on this site, it will be attributed and dated.