Insurance Request Form

The Reimbursement Resource Toolkit was developed by Fibroid Relief to help uterine fibroid patients access focused ultrasound as their treatment of choice.

Individuals investigating what treatments are covered should first begin by contacting the phone number listed on the back of their insurance card. Customer service can refer you to information on specific policies, including requirements patients may need to meet before the focused ultrasound treatment can be approved (“pre-authorization”) requirements. Some patients may be able to access this information with a login and password on their health plan’s website.

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ExAblate Care Credit

Through CareCredit we offer affordable financing. You can get either a NO INTEREST payment plan or an extended LOW FIXED INTEREST payment plan every time you use it. Most credit cards only offer special or low interest plans for short periods or upon sign up.

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