{"id":3599,"date":"2016-08-15T20:27:51","date_gmt":"2016-08-15T20:27:51","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/?page_id=3599"},"modified":"2016-08-15T20:35:36","modified_gmt":"2016-08-15T20:35:36","slug":"insurance","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/","title":{"rendered":"Kidney Stone Treatment &#8211; Insurance Coverage in New York and New Jersey"},"content":{"rendered":"<h1>Insurance Coverage for Kidney &amp; Ureteral Stone Treatment in New York City and New Jersey<\/h1>\n<hr \/>\n<p><strong>If you have any questions, to\u00a0<a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/appointments\/\">schedule a consultation<\/a>\u00a0or if you need a <a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/second-opinion-urologist-nyc\/\">second opinion<\/a>, please<a href=\"\/?page_id=876\">\u00a0<\/a><a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/contactus\/\">contact us<\/a>\u00a0or call: <a onclick=\"goog_report_conversion ('tel: 6466634421')\" href=\"tel:6466634421\">646-663-4421<\/a><\/strong><\/p>\n<p><strong>We offer affordable, highest-quality urology\u00a0care. \u00a0We offer weekday, weekend, and evening office hours.\u00a0<\/strong><\/p>\n<hr \/>\n<h2><strong>Is Kidney Stone and Ureteral Stone Treatment Covered by Insurance?<\/strong><\/h2>\n<p>Kidney stone treatment is covered by health insurance in the United States because it is medically necessary. Some networks may require preauthorization for certain procedures. Imaging studies, prescription medications, blood work, and 24-hour urine collection are covered. If a procedure is needed, insurance covers all costs including anesthesia, hospital or surgical center expenses, and surgeon&#8217;s fee according to your benefit plan.\u00a0 You may be responsible for deductible, co-insurance, copays depending on your insurance plan contract.<\/p>\n<h2>Typically insurance benefits cover the following:<\/h2>\n<ul>\n<li>Evaluation by a urologist (Consultation fee)<\/li>\n<li>Blood and urine tests necessary for evaluation of patients with kidney stones<\/li>\n<li>Surgical costs for the chosen procedure: Lithotripsy, ureteroscopy or\u00a0 PCNL:\n<ul>\n<li>Anesthesia fee<\/li>\n<li>Facility Surgical fee for Operating room in a surgical center or hospital<\/li>\n<li>Surgeon fee<\/li>\n<\/ul>\n<\/li>\n<li>Imaging Costs<\/li>\n<li>Ultrasound of Kidney and\/or Pelvis\n<ul>\n<li>X-ray<\/li>\n<li>CT Scan<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>If you have acute pain and you\u2019re treated by a New York Urology Specialist doctor, most insurances cover the cost of treatment in an emergency situation<\/strong>.\u00a0 If you\u2019re in acute pain, see our \u201cEmergency Treatment for Kidney Stones\u201d page.<\/p>\n<p>If you\u2019re seen electively, the scheduling team at New York Urology Specialists will get pre-authorization from your insurance to make sure that the hospital or surgical center costs are covered.<\/p>\n<h2>No Insurance?<\/h2>\n<p>For patients without insurance, we will work with you to find an optimal financial arrangement for your particular situation.<\/p>\n<hr \/>\n<p><strong>If you have any questions, to\u00a0<a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/appointments\/\">schedule a consultation<\/a>\u00a0or if you need a <a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/second-opinion-urologist-nyc\/\">second opinion<\/a>, please<a href=\"\/?page_id=876\">\u00a0<\/a><a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/contactus\/\">contact us<\/a>\u00a0or call: <a onclick=\"goog_report_conversion ('tel: 6466634421')\" href=\"tel:6466634421\">646-663-4421<\/a><\/strong><\/p>\n<p><a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Alex Shteynshlyuger<\/a><a title=\"Dr. Alex Shteynshlyuger\" href=\"\/ed\/?page_id=195\">\u00a0<\/a>\u00a0is a board certified urologist in NYC who\u00a0<b>specializes in treating\u00a0men and women with kidney stones and ureteral stones.<\/b><\/p>\n<p>We specialize in providing care to men and women with complex urological needs. We also offer<strong> <a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/second-opinion-urologist-nyc\/\">second and third opinions to patients<\/a>\u00a0<\/strong>who have not benefited from the cookbook approach to medicine and who require an individualized plan of urological care. \u00a0Please feel free to <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/contactus\/\">contact us<\/a><\/strong> with any questions.\u00a0We also provide care to<strong>\u00a0<a title=\"International and out-of-the-area patients\" href=\"\/?page_id=1490\">international patients and out-of-area patients<\/a><\/strong> in our offices.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Insurance Coverage for Kidney &amp; Ureteral Stone Treatment in New York City and New Jersey If you have any questions, to\u00a0schedule a consultation\u00a0or if you need a second opinion, please\u00a0contact us\u00a0or call: 646-663-4421 We offer affordable, highest-quality urology\u00a0care. \u00a0We offer weekday, weekend, and evening office hours.\u00a0 Is Kidney Stone and Ureteral Stone Treatment Covered by [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3595,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-3599","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kidney Stone Treatment - Insurance Coverage in New York and New Jersey - NYC Kidney Stone Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/\",\"name\":\"Kidney Stone Treatment - Insurance Coverage in New York and New Jersey - NYC Kidney Stone Clinic\",\"isPartOf\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/#website\"},\"datePublished\":\"2016-08-15T20:27:51+00:00\",\"dateModified\":\"2016-08-15T20:35:36+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/insurance\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Treatment Cost for Kidney Stone and Ureteral Stones in New York City\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/cost\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Kidney Stone Treatment &#8211; 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