What is Synvisc?
Synvisc is a treatment known as a viscosupplement that lubricates and cushions the knee joint, in turn, relieving pain and inflammation. As we age—or for athletes or workers who constantly use their knees, Synvisc supplements the body’s own knee fluid, allowing free movement and a significant reduction in pain. Synvisc is injected directly into the knee over the course of three physician visits, or in one injection (SynviscOne). The injection takes only a few minutes and is simple and relatively painless.
You may be asked to forego strenuous exercise for 24-48 hours, but you should be able to resume your normal activities following your Synvisc injection. While Synvisc is not a cure for osteoarthritis, it can potentially increase comfort and mobility significantly. Synvisc is not a steroid, rather is made from a substance that is similar to your normal joint fluid. If you could benefit significantly from Synvisc but you’ve received a Synvisc insurance denial, you could benefit from speaking to an experienced insurance denial attorney from the Law Offices of Scott Glovsky.
Who Needs Synvisc?
Clinical studies of patients with osteoarthritis of the knee, ranging from mild to severe, experienced a significant reduction in knee pain after receiving an injection of Synvisc. Synvisc is prescribed when treatments like over-the-counter painkillers no longer work. If your doctor has mentioned knee surgery because you experience moderate to severe knee pain when walking, climbing stairs, or playing sports, Synvisc could be a much less invasive treatment. Most people find they have significantly reduced pain and inflammation for about six months following an injection of Synvisc. Perhaps your job requires you to stand for long periods of time or to bend your knees frequently—if so, you might also be a good candidate for Synvisc.
Why Do Insurance Companies Deny Synvisc?
An injection of Synvisc can cost from $1,062 to $1,400 for an individual paying cash. Your insurance company may balk at the price of Synvisc, perhaps because it is not on their formulary list, or because they don’t believe the drug is medically necessary. Your doctor can provide details regarding why the drug is medically necessary for your condition. If your insurance company still refuses to pay for your Synvisc injection, you can file an appeal. Appealing an insurance decision can feel overwhelming when your days are already full. Speaking to an experienced insurance denial attorney can help you get the drug you need for your painful osteoarthritis.
What Are Your Legal Rights to Synvisc?
You pay your insurance premiums every month. In return, your insurer has the obligation to pay for the drugs and treatments you need for your health. When it doesn’t do that, you have the right to challenge its bad decision. When you appeal an adverse decision from your insurer with help from your insurance denial attorney, you may stand a really good chance of a decision reversal.
How the Law Offices of Scott Glovsky Represent Clients Who Receive a Synvisc Insurance Denial
Attorney Scott Glovsky and his legal team never hesitate to go toe-to-toe with a large insurance corporation to get the justice his clients deserve. Scott has been helping people like you for more than two decades. If you have received a Synvisc insurance denial and are unsure of where to turn, Scott is ready to help you. At the Law Offices of Scott Glovsky, we simply will not allow your health to decline because your insurance company will not approve the drug you need. Contact the Law Offices of Scott Glovsky today for a free case review.