Bring current cards
Bring your medical insurance card, Medicare or Medicare Advantage card if applicable, photo ID, referral information if your plan requires it, and any secondary insurance.
Best short answer
Insurance coverage for a joint replacement consultation or surgery depends on the plan, network status, medical necessity, facility, anesthesia, and any prior authorization requirements. TJS scheduling verifies coverage details before surgery planning, and patients should bring current insurance information to the first appointment.
What to know
Practical planning points
Ask about network status
Confirm the surgeon, office visit, surgery center or hospital, anesthesia, imaging, and therapy benefits because each part may be billed differently.
Expect verification
Scheduling and benefits teams can verify plan information, but final benefits and patient responsibility come from the insurer.
Prepare prior records
Prior X-rays, MRI reports, injection history, therapy notes, and medication lists can help document the care pathway.
Checklist
Bring this if you have it
1Insurance card and photo ID
2Medicare or Medicare Advantage card
3Referral or authorization details if required
4Secondary insurance information
5List of prior treatments and imaging
Common Questions
Questions patients ask
Does TJS accept Medicare?
TJS scheduling can verify Medicare and Medicare Advantage participation and benefits for the requested office, surgeon, and procedure pathway.
Will insurance cover joint replacement?
Coverage depends on medical necessity, plan rules, network status, prior authorization, and the facility involved. Benefits should be verified before surgery planning.
Should I call my insurer first?
It is reasonable to call your insurer, but scheduling can also help verify the practical details needed for a consultation or surgery plan.
Related Resources
For urgent symptoms, call your surgeon, primary care clinician, or emergency services. This page does not replace medical advice.
Next Step
Scheduling can help route the right visit.
Use the appointment request or call if you are unsure which surgeon, office, or visit type fits your hip or knee concern.