What insurance covers, and what it does not.

The surgery: billed to your insurance as any knee replacement

The operation itself is a total knee replacement, performed by the TrueKnee technique. Your surgeon’s practice and the hospital or surgery center bill it to your insurance the way they bill any knee replacement. The surgeon’s fee, the facility, anesthesia, the implant and physical therapy are the same categories as for any knee replacement. TrueKnee changes how your knee is planned and resurfaced, not how the surgery is billed.

Your plan’s own rules apply: whether the surgeon and the facility are in your network, prior authorization, your deductible and co-insurance, and any treatment your plan asks for before it approves surgery. Those rules differ from plan to plan, and the practice’s office is the right place to have them checked.

TrueKnee does not bill your insurance and does not set the price of the surgery. No page on this website can tell you what your operation will cost. The practice can, once your coverage has been checked.

The TrueKnee program: outside insurance

The TrueKnee program, your 3D plan, your Navigator and the TrueKnee recovery program, is $3,000, paid to your practice when you enroll. Your surgeon’s, hospital’s and insurance costs are separate, and so is the CT scan for your 3D plan, which your surgeon orders and the imaging center bills like any other imaging.

The TrueKnee program is outside insurance: it is not a medical charge, it is not submitted to your plan, and no insurance plan is expected to cover it. It pays for the parts of a TrueKnee that insurance does not cover: a Navigator who handles the arrangements, a 3D plan of your knee made from a scan your surgeon orders, and the TrueKnee recovery program with its check-ins.

Cancel any time before your operation and the full $3,000 is returned.

Online enrollment is not open yet and no payment is collected on this website. Navigator availability and the service terms are confirmed with you before you enroll.

Whether a health savings or flexible spending account can be used for the program is a question for your plan administrator. TrueKnee does not give tax advice.

The CT scan

Your surgeon orders a CT scan for your 3D plan. The imaging center bills the scan like any other imaging, so your plan’s imaging rules and your share of that cost apply. The scan is not part of the $3,000.

Employer surgery benefits

TrueKnee is not yet part of any employer surgery-benefit network. If your employer offers one, say so and your Navigator will explain what it covers.

The Ask-to-connect form on every TrueKnee surgeon page asks whether your employer offers one. Your answer tells TrueKnee which employers to approach; it does not change what you pay today.

Who checks your coverage

The practice’s office verifies your benefits, as it does for every patient. Your Navigator makes sure that has happened before your visit. Anything still open, including insurance details and payment, is handled with you in a private room when you arrive, never at a front desk. Read the Navigator and office commitment.

Before you decide, the consultation checklist has a section on costs: which charges to confirm and who can estimate your out-of-pocket cost. Open the checklist.