Does insurance cover PRP, BMAC, or MFAT?

What You Need to Know

Generally, no — PRP, BMAC, and MFAT are typically not covered by health insurance and are billed directly to the patient, similar to the practice's comprehensive initial evaluation.

The Full Answer

Most orthopedic and regenerative medicine practices do not bill PRP, BMAC, or MFAT to insurance, since these procedures are generally not considered medically necessary by insurers regardless of clinical evidence supporting them. Patients typically pay directly for these procedures, similar to the comprehensive initial evaluation. Some HSA or FSA accounts may be usable — patients should confirm directly with their plan administrator.

What the Current Evidence Shows

Who May Benefit

When Surgery May Be More Appropriate

Dr. Tortland's Perspective

Cost is discussed openly and upfront, rather than patients discovering it only after a consultation, so they can make an informed decision before committing to a plan.