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   Paying for Hyberbaric Oxygenation Therapy

 

 

//www.balancedhealthtoday.com/hyperbaric-chamber.html

Hyperbaric Oxygen Therapy

Hyperbaric Vets

According to Spiegel, the Food and Drug Administration (FDA) has approved this therapy for only 14 clinical conditions, including the treatment of external diabetic ulcers and internal radiation wounds. These 14 treatment categories appear to have been arbitrarily set more than 40 years ago.

Without FDA approval, however, insurance companies cannot cover the cost of this treatment, nor can hospitals provide treatment, even for those who can pay. Instead, only free-standing clinics are legally permitted to treat for "off-list" conditions such as CRPS. Formal clinical studies are required for this scenario to change, a cost prohibitive proposition thus far.

While insurance is unlikely to cover the cost of these treatments for the time being, Spiegel feels HBOT therapy is still "very, very cost effective" in the long term. Session lengths average 1-1/2 to 2 hours for individuals with CRPS, with costs around $150 to $250 per session.

For example, if ordinary pain management therapies like injections and narcotics don't help CRPS patients, then surgical procedures may be necessary, he says. One of these is a morphine pump, which costs upwards of $20,000 just to install. "It needs to be monitored monthly by a physician and replaced every four or five years, with all the associated costs for doctor visits along the way." Most free-standing centers, however, provide HBOT for thousands of dollars less than hospital-based centers.

Spiegel and others are doing what they can to get the FDA and other groups to re-evaluate the current limitations on approved diagnoses to treat with HBOT. This past summer, for example, he gave a talk at the Undersea Hyperbaric Medical Society annual meeting. The talk raised considerable interest. Currently, two clinical trials are underway at the National Institutes of Health involving HBOT, but neither involve people with CRPS.

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