• Patients
    • Recovery Guides
  • Secure Pay Online
(480) 483-0393

Advanced Knee Care

Knee Surgeon and Specialist Stefan D. Tarlow, M.D.

  • SURGICAL TREATMENTS
    • Robotic Mako Total Knee Replacement
    • Makoplasty Robotic Partial Knee Surgery
    • Robotic Cementless (Press Fit) Total Knee Replacement
    • ACL Reconstruction
    • Knee Arthroscopy
    • Knee Cartilage Repair Restoration Surgery
    • Subchondroplasty
    • Knee Arthritis Treatment Options
    • Patello Femoral (Knee Cap) Replacement Surgery
    • My Knee Cap Hurts
    • Hyalofast Cartilage Restoration Surgery
  • SPORTS INJURIES
    • Basketball Knee Injuries
    • Skiing Knee Injuries
    • Soccer Knee Injuries
    • Volleyball Knee Injuries
  • CONTACT
  • Articles
  • About Dr. Tarlow
  • About the Practice

The Patient’s Guide to Medicare and Robotic Knee Replacement

December 21, 2023 By Stefan D. Tarlow MD

medicare

In recent years, robotic knee replacement surgeries have gained widespread recognition for their precision and potential to improve patient outcomes. If you’re considering this advanced procedure to regain mobility and reduce knee pain, it’s essential to understand how Medicare covers robotic knee replacement. This guide will walk you through the essentials, from eligibility and coverage to the benefits of choosing this innovative approach under Medicare.

Robotic Knee Replacement: A Technological Advancement

surgery assistant robot

Robotic knee replacement, often performed with systems like Mako, represents a significant leap forward in orthopedic surgery. These advanced technologies provide orthopedic surgeons with unparalleled precision, enhancing the accuracy of the procedure and potentially leading to quicker recovery times and improved joint function.

Eligibility for Robotic Knee Replacement under Medicare

knee surgeon checking patient

Determining whether you meet the eligibility criteria for robotic knee replacement is crucial. Medicare typically covers knee replacement surgeries when they are considered medically necessary. If your knee condition has progressed to a point where conservative treatments are no longer effective, you may be a candidate for the procedure.

The Benefits of Choosing Robotic Knee Replacement under Medicare

knee after surgery

Opting for robotic knee replacement under Medicare can offer several advantages:

Enhanced Precision

Robotic systems help surgeons achieve remarkable precision during the procedure, potentially leading to a more accurate fit of the prosthetic components.

Quicker Recovery

Robotic total knee replacement is almost always performed at an outpatient surgery center. You go home the same day. Recovery is thought to be faster with robotic knee replacement compared to traditional manual knee replacement surgery.

Improved Joint Function

The advanced technology used in robotic knee replacement can result in better joint function and reduced pain post-surgery.

Navigating the Decision-Making Process

medical insurance person

Choosing robotic knee replacement is a significant decision involving medical and financial considerations. Here are some essential steps to guide you through the process:

Consult with Your Healthcare Provider

Discuss your knee condition and treatment options with your orthopedic surgeon. They can help determine if robotic knee replacement is right for you.

Review Your Medicare Plan

Understand the coverage and out-of-pocket costs associated with your specific Medicare plan. Be prepared to ask questions and seek clarification from your insurance provider.

Explore the Surgical Team

Consider the expertise and experience of the surgical team, as this can significantly impact your surgical outcome.

Direct Care with Dr. Tarlow: A Unique Advantage

knee doctor of phoenix dr. stefan tarlow

Choosing Dr. Tarlow as your orthopedic surgeon offers a distinct advantage. While Medicare covers facility fees (ASC or Hospital), Anesthesiologist fees, Physical Therapist services, medications, and most imaging studies, when you select Dr. Tarlow as your surgeon, you deal directly with your care provider. This means that treatment decisions remain in your hands, eliminating the need for third-party involvement and bringing back the doctor-patient relationship.

The Financial Aspect: What to Expect

Dr. Tarlow’s professional fee covers the cost of the replacement surgery and one year of professional follow-up care. However, it’s essential to note that Medicare does not cover this fee, and you will pay Dr. Tarlow directly for his services. The fee for your knee replacement procedure may vary depending on the type of procedure, ranging from $9,000 to $12,000.

Dr. Tarlow’s priority is ensuring his patients receive the necessary care, regardless of financial constraints. If you find the direct pay fee challenging, Dr. Tarlow will reduce his professional fee to accommodate your medical needs.

Frequently Asked Questions (FAQs)

Q1: Is robotic knee replacement covered by Medicare Advantage plans?

Yes, many Medicare Advantage plans cover robotic knee replacement. However, the extent of coverage and out-of-pocket costs may vary depending on your specific plan and the provider and surgeon you choose to work with. It’s advisable to check with your plan provider for details.

Q2: Are there age restrictions for Medicare coverage of robotic knee replacement?

Medicare eligibility is primarily based on medical necessity rather than age. Medicare coverage may be available regardless of age if your healthcare provider deems robotic knee replacement medically necessary.

Ready to Explore Robotic Knee Replacement with Medicare?

If you’re interested in the possibilities of robotic knee replacement and how it aligns with your Medicare coverage, don’t hesitate to contact Dr. Tarlow’s office. Our dedicated team is here to assist you in understanding your options, answering your questions, and guiding you toward the best decision for your knee health and well-being. Take the first step towards improved mobility and comfort by scheduling a consultation with Dr. Tarlow today. Your journey to a pain-free and active lifestyle begins here.

Filed Under: medicare, robotic knee surgery

Why Out-of-Network Doctors are a Preferred Choice for Robotic Knee Replacement

November 17, 2023 By Stefan D. Tarlow MD

knee surgeon and robot

In recent years, the field of orthopedic surgery has witnessed remarkable advancements, particularly in the realm of knee replacements. Robotic knee replacement surgery has emerged as a cutting-edge technique offering enhanced precision and better patient outcomes. Interestingly, many patients are now opting for out-of-network surgeons to perform these procedures despite the potential for higher upfront costs. This article will explore why out-of-network doctors are increasingly becoming the preferred choice for robotic knee replacement and why their specialized expertise and personalized care can lead to better long-term results.

The Rise of Robotic Knee Replacement

surgical robot

Knee replacement surgery has been a standard treatment for individuals suffering from severe knee arthritis or injury. Traditionally, surgeons performed these procedures manually, relying on their skills and experience to accurately remove damaged tissue and implant prosthetic components. While these methods have been successful for decades, the introduction of robotic technology has revolutionized the field.

Robotic knee replacement involves using a robotic surgical system that assists the surgeon during the procedure. It offers several advantages, including:

  1. Enhanced Precision
    Robotic systems provide real-time feedback to the surgeon, helping them make precise cuts and placements. This precision can lead to a more accurate fit of the prosthetic components, reducing the risk of misalignment.
  2. Personalized Planning
    Robotic systems utilize advanced imaging and computer algorithms to create a personalized surgical plan for each patient. This tailoring ensures that the procedure meets the specific needs of the individual.
  3. Minimally Invasive
    Robotic-assisted surgery often allows for smaller incisions, resulting in less tissue damage, reduced pain, and faster patient recovery times.
  4. Improved Outcomes
    Studies have shown that robotic knee replacement can lead to better outcomes, including improved range of motion, reduced pain, and increased implant longevity.

Given these advantages, it’s unsurprising that many patients seek the best surgeons, even if it means going out-of-network.

The Expertise of Out-of-Network Surgeons

knee surgeons

Out-of-network surgeons, often associated with specialized orthopedic centers, are at the forefront of medical advancements in robotic knee replacement. Here’s why their expertise matters:

  1. Specialized Training
    These surgeons undergo rigorous training and will likely have specialized expertise in robotic-assisted knee replacement. They have invested substantial time and effort in mastering these cutting-edge techniques.
  2. Access to Advanced Technology
    Out-of-network surgeons are more likely to have access to state-of-the-art robotic surgical systems and the latest software updates. This ensures that patients benefit from the most advanced technology available.
  3. Patient-Centered Care
    Many out-of-network providers prioritize personalized care. They often have lower patient-to-surgeon ratios, providing more individualized attention and care throughout the surgical process.
  4. Research and Innovation
    These surgeons are often involved in research and innovation within their field. They are more likely to participate in clinical trials, contributing to developing new techniques and technologies.

Long-Term Benefits for Patients

recovering knee surgery patient

While opting for an out-of-network surgeon for robotic knee replacement may involve higher upfront costs, patients often find that the long-term benefits outweigh the financial investment. These benefits can include:

  1. Better Surgical Outcomes
    The precision and expertise of out-of-network surgeons can result in better surgical outcomes, including increased implant longevity and reduced risk of complications.
  2. Improved Quality of Life
    Patients who receive robotic knee replacements from specialized surgeons report a higher quality of life, with reduced pain and improved mobility.
  3. Reduced Revision Surgeries
    The accuracy of the procedure can lower the likelihood of revision surgeries, which are often required when knee replacements fail prematurely.
  4. Faster Recovery
    Minimally invasive techniques used by many out-of-network surgeons can lead to faster recovery times, allowing patients to return to their daily activities sooner.

Navigating the Financial Aspects

medical insurance for seniors

While the benefits of choosing an out-of-network surgeon for robotic knee replacement are compelling, it’s essential to address the financial considerations. Patients can take several steps to navigate the costs effectively:

  1. Insurance Coverage
    Check with your insurance provider to understand the extent of coverage for out-of-network procedures. Some plans may partially cover the expenses.
  2. Financing Options
    Explore financing options or payment plans offered by the surgical center or hospital. These arrangements can help distribute the cost over time.
  3. Consultation and Second Opinions
    Schedule consultations with both in-network and out-of-network surgeons to compare costs, discuss payment options, and make an informed decision.
  4. Out-of-Pocket Expenses
    When assessing the procedure’s value, consider the long-term benefits and potential savings from reduced revision surgeries and improved quality of life.

Out-of-network doctors are increasingly becoming the preferred choice for robotic knee replacement due to their specialized expertise, access to advanced technology, and commitment to patient-centered care. While the upfront costs may be higher, the potential long-term benefits and improved outcomes make this choice compelling for individuals seeking the best possible results in their journey to regain mobility and comfort. If you’re ready to explore the possibilities of robotic knee replacement with a dedicated specialist, schedule a consultation with Dr. Tarlow today and experience the difference in orthopedic care. Your path to enhanced mobility and comfort begins here.

Filed Under: robotic knee surgery

Cementless Mako Total Knee

January 19, 2018 By Stefan D. Tarlow MD

Porous Coating allows for cementless fixation

Stryker’s Joint Replacement division today announced that its cementless Mako Total Knee with Triathlon Tritanium has received  market clearance by the U.S. Food and Drug Administration for Q4 2017.

Triathlon Tritanium combines Triathlon knee implant with the latest in highly porous biologic fixation technology for a knee system that holds the promise of improved fixation and longevity in younger and obese total knee replacement patients.  The innovation of Tritanium’s tibial baseplate and metal-backed patella components allow the components to be implanted without bone cement.  Bone cement loosening is one of the mechanisms of failure of artificial knees.  The though is that if one eliminates the bone cement the implant can potentially last longer.

Cementless procedures rising in popularity and becoming a fast-growing trend, especially in the under 50 year old patient.  Coupling robotics and cementless fixation solution allows orthopaedic surgeons to be more precise in the bone preparation which could increase the success of cementless total knee replacement.

If you are under 50 or have a high BMI this cementless Mako Total Knee is a procedure you should give serious consideration.  The combination of robotic surgery and ingrowth fixation is the latest advancement of total knee replacement technology.

Filed Under: robotic knee surgery, Total Knee Replacement

Our Recent Posts

  • The Patient’s Guide to Medicare and Robotic Knee Replacement
  • Why Out-of-Network Doctors are a Preferred Choice for Robotic Knee Replacement
  • A Comprehensive Guide to Understanding Patello-Femoral Replacement Surgery
  • ACL Reconstruction: What to Expect Before, During, and After Surgery
  • PRP Knee Injections: A Natural Approach to Relieve Joint Pain and Promote Healing

Ready to Schedule a Consultation?

SCHEDULE AN APPOINTMENT

OR CALL US (480) 440-6557

best knee doctor in phoenix

Scottsdale Knee Specialist & Surgeon – Stefan D. Tarlow M.D

Stefan D. Tarlow, MD, is Arizona’s premier “knees only” orthopedic surgeon.

more about us »

ARTICLES

The Patient’s Guide to Medicare and Robotic Knee Replacement

Why Out-of-Network Doctors are a Preferred Choice for Robotic Knee Replacement

A Comprehensive Guide to Understanding Patello-Femoral Replacement Surgery

ACL Reconstruction: What to Expect Before, During, and After Surgery

PRP Knee Injections: A Natural Approach to Relieve Joint Pain and Promote Healing

PATIENTS
  • Recovery Guides
  • Make a Payment
CONTACT US
(480) 483-0393 SCOTTSDALE

Copyright © 2025 · Dynamik-Gen On Genesis Framework · WordPress · Log in

© 2024   |   ALL RIGHTS RESERVED. ADVANCED KNEE CARE, STEFAN D. TARLOW, M.D.

  • SURGICAL TREATMENTS
    ▼
    • Robotic Mako Total Knee Replacement
    • Makoplasty Robotic Partial Knee Surgery
    • Robotic Cementless (Press Fit) Total Knee Replacement
    • ACL Reconstruction
    • Knee Arthroscopy
    • Knee Cartilage Repair Restoration Surgery
    • Subchondroplasty
    • Knee Arthritis Treatment Options
    • Patello Femoral (Knee Cap) Replacement Surgery
    • My Knee Cap Hurts
    • Hyalofast Cartilage Restoration Surgery
  • SPORTS INJURIES
    ▼
    • Basketball Knee Injuries
    • Skiing Knee Injuries
    • Soccer Knee Injuries
    • Volleyball Knee Injuries
  • CONTACT
  • Articles