Does My Insurance Cover Endometriosis Surgery or Do I Have to Pay for It?


Finding an endometriosis doctor is complicated, but insurance coverage? That’s a whole new challenge!

If you find yourself wondering, “Does my insurance cover endometriosis surgery,” you’re not alone. Here’s what you need to know.

What Type of Surgery for Endometriosis is Available?

Thankfully, due to medical advancements, endometriosis is becoming more understood with a variety of surgeries allowing for successful treatment. These surgeries include:

  • Hysterectomy: A hysterectomy is ideal for patients who haven’t found success with other treatments and do not intend to become pregnant. It includes removing some or all of your reproductive organs affected by endometriosis.
  • Laparoscopy: The most common way to diagnose and treat endometriosis, your surgeon inserts a laparoscope after making an incision and inflating your stomach with gas. From there, they find endometriosis tissue outside the uterus and remove it.
  • Laparotomy: This is for cases of severe endometriosis. It involves a large cut in your stomach where your doctor will remove tissue affected by endometriosis.

Does My Insurance Cover Endometriosis Surgery? What Do I Do If Not?

Each surgery comes with its own pros, cons, and cost. So, will your health insurance plan cover the expense of your treatment? Yes and no.

Many times, insurance companies make it difficult for endometriosis patients to receive proper care. More often than not, insurance only covers the basics, such as simple visits with your OB/GYN. Surgical coverage for laparoscopy and other methods is often something you need to fight for.

With endometriosis often comes financial stress. Discuss with your surgeon ahead of time how you can work with your insurance to cover treatment, or what you can do if it doesn’t. Remember: never give up!

Where Can I Find a Skilled Endometriosis Surgeon?

For an answer to your question, “Does my insurance cover endometriosis surgery,” call Women’s HealthCare Specialists today at 301-812-3400 to see how we can help you!

Written by Webmaster