HFX™ is covered by major insurance plans
How much does HFX cost?
HFX is covered by major insurance plans. At the time of your HFX consultation, in most cases you can expect to pay your regular copay cost for a specialist visit.
Different plans can result in varying out-of-pocket expenses.
Hear HFX Patient Ambassadors share their insurance experiences
Read the below insurance experiences shared by HFX Patient Ambassadors with diabetic neuropathy pain.
-
Robert
Insurance Type: Humana
Age: 70
State: Texas
“It was 100% covered! My doctor’s office did all the work. I had no issues and the process was really quick. After my trial, within 3 weeks I had approval for the HFX implant.”
-
Tim
Insurance Type: Medicare with BCBS supplemental
Age: 76
State: Texas
“I had no out-of-pocket cost! My doctor’s office took care of everything.”
-
Anita
Insurance Type: Anthem BCBS
Age: 68
State: Indiana
“The insurance process with HFX was so easy! 3 days into my trial week I called my doctor’s office to reach out to my insurance provider because I knew I wanted the HFX implant! It was no problem. My insurance approved HFX right away. I had no out-of-pocket cost.”
-
Sara
Insurance Type: Medicare
Age: 61
State: Kansas
“My insurance covered 100% of my cost! I was totally shocked that they covered everything. HFX is my lifeline I would pay for it out of pocket if I had to!”
Insurance information
Select your insurance type to learn more about cost and coverage for HFX.
Employer or health exchange
FAQ toggle button
- Most major employer and health exchange insurance plans cover HFX.
- This includes Aetna, United Healthcare, Kaiser, and Blue Cross Blue Shield.
- Just like any medical procedure, typically you can expect to pay the cost of any unmet deductible for the year, along with any copay or coinsurance fee required for a procedure, as detailed in your unique plan benefits.
Medicare
FAQ toggle button
- Medicare and all Medicare Supplemental/Medicare Replacement insurances cover HFX.
- HFX is covered nationwide by Medicare (all ages, all plan types, including Medicare Advantage).
- While there is a coinsurance amount for Medicare, if you have Medicare Supplemental insurance, you can expect to pay even less.
Medicaid
FAQ toggle button
- Medicaid coverage varies by state.
- It’s important you also check to see if your pain management provider accepts this type of insurance.
Veterans
FAQ toggle button
- HFX is available for veterans and active-duty military members or their families at select VA and military hospitals across the US.
- Talk to your local VA provider to see if HFX is offered or if there are local community care physicians who offer HFX in your area.
Paying without insurance
FAQ toggle button
- HFX can be paid for out-of-pocket, and many physicians offer out-of-pocket discounts for people who don’t have insurance.
- For the most accurate answer, it’s best to ask the physician you’re working with to determine what your out-of-pocket costs will be.
- Most major employer and health exchange insurance plans cover HFX.
- This includes Aetna, United Healthcare, Kaiser, and Blue Cross Blue Shield.
- Just like any medical procedure, typically you can expect to pay the cost of any unmet deductible for the year, along with any copay or coinsurance fee required for a procedure, as detailed in your unique plan benefits.
- Medicare and all Medicare Supplemental/Medicare Replacement insurances cover HFX.
- HFX is covered nationwide by Medicare (all ages, all plan types, including Medicare Advantage).
- While there is a coinsurance amount for Medicare, if you have Medicare Supplemental insurance, you can expect to pay even less.
- Medicaid coverage varies by state.
- It’s important you also check to see if your pain management provider accepts this type of insurance.
- HFX is available for veterans and active-duty military members or their families at select VA and military hospitals across the US.
- Talk to your local VA provider to see if HFX is offered or if there are local community care physicians who offer HFX in your area.
- HFX can be paid for out-of-pocket, and many physicians offer out-of-pocket discounts for people who don’t have insurance.
- For the most accurate answer, it’s best to ask the physician you’re working with to determine what your out-of-pocket costs will be.
Eligibility requirements
HFX is right for most people who meet the criteria below:
- You’ve been diagnosed with diabetic neuropathy pain in your feet or legs
- You’ve tried two or more prescription pain medications and haven’t found relief or want to avoid the side effects of medications
It might be helpful to know that 9 out of 10 people who use HFX to manage their diabetic neuropathy pain, experience long-term relief.1
See an HFX doctor for a consultation
HFX doctors are pain management specialists who have been trained in the minimally invasive procedure to get HFX and are experienced with HFX. After you take the assessment, your HFX Coach™ will call and help you find an HFX doctor in your area.
Or you can find one near you here. Simply search your zip code and call any HFX doctor you see listed to schedule a consultation.
Your physician’s office will work directly with your insurance provider or our HFX Access Team to complete the insurance approval process.
Frequently asked questions
HFX is a treatment option for people with diabetic neuropathy pain who haven’t found relief with prescription pain medications or who want to avoid the side effects. You can take the assessment to find out if you qualify.
Yes! HFX is covered by major insurance plans to relieve diabetic neuropathy pain.
HFX is covered nationwide by Medicare for all ages and all plan types, including Medicare Advantage.
The cost of HFX and the procedure will vary depending on your hospital and provider because each facility determines its own pricing (not us). Typically, you can expect to pay the cost of any unmet deductible for the year, along with any copay or coinsurance fee required for a procedure, as detailed in your plan benefits. To get an accurate cost, it’s best to ask your pain management provider.
In most cases, at the time of your HFX consultation you can expect to pay your regular copay cost for a specialist visit.
Needing a referral will depend on the pain management provider policies in your area. In many cases a referral isn’t required.
Yes, HFX was approved by the FDA in 2021 to relieve diabetic neuropathy pain.
HFX is offered by thousands of pain management doctors nationwide. When your HFX Coach calls, they’ll help you find an HFX doctor near you.
Or if you prefer, you can find one near you here. Simply search your zip code and call any HFX doctor you see listed to schedule a consultation.
HFX doctors are pain management specialists who have been trained in the minimally invasive procedure to get HFX and are experienced with HFX.
