Does Insurance Pay for Mohs Skin Cancer Surgery?

By Dr. David Wang

When dealing with skin cancer, getting the best treatment is essential. For many patients in Katy and Memorial, Texas, Mohs surgery is a preferred treatment option due to its high cure rate and tissue-sparing precision. But one common question arises: Does insurance cover Mohs surgery for skin cancer? Here’s what residents in the Houston area need to know about insurance coverage for this specialized procedure.

What Is Mohs Surgery?

Mohs surgery is an advanced, layer-by-layer procedure used to remove skin cancer, typically for basal cell carcinoma and squamous cell carcinoma. By removing only the cancerous layers and sparing healthy tissue, this surgery is especially beneficial for sensitive areas like the face, neck, and hands. It’s one of the most effective treatments for non-melanoma skin cancer, offering the highest cure rate with minimal impact on surrounding skin.

Is Mohs Surgery Covered by Insurance?

Most insurance providers do cover Mohs surgery when it’s deemed medically necessary. In areas like Katy and Memorial, Texas, insurers generally recognize the value of Mohs surgery, especially for cases where cancer is aggressive, recurrent, or located in a visible area. Coverage is likely if:

  1. The procedure is medically necessary: This applies when the skin cancer is in areas of high functional or cosmetic importance, such as the face or hands.

  2. The cancer has a high risk of recurrence: Mohs surgery is ideal for recurring cancers or those in challenging areas where complete removal is essential.

  3. Other treatments are less effective: Mohs surgery is often the most successful option for complex skin cancers, especially those in delicate or high-risk areas.

Steps to Confirm Insurance Coverage

To ensure your insurance covers Mohs surgery, take these steps:

  1. Contact your insurance provider: Check directly with your insurer to confirm coverage for Mohs surgery for skin cancer.

  2. Request pre-authorization: Some insurance companies require pre-approval before the surgery. Our team at Village Dermatology can assist with obtaining pre-authorization if needed.

  3. Understand potential out-of-pocket costs: Even with insurance coverage, co-pays or deductibles may apply. We can help clarify any costs involved.

Why Insurance Coverage for Mohs Surgery Matters

For skin cancer patients in Katy and Memorial, knowing that insurance typically covers Mohs surgery can offer peace of mind. With its high cure rate and precision, Mohs surgery is an excellent option for treating skin cancer, particularly in visible or delicate areas. Reducing financial barriers helps patients access this top-tier treatment without additional stress.

Learn More About Skin Cancer Treatment Options

At Village Dermatology, our experienced team in Katy and Memorial, Texas, is here to support you in every step of your skin cancer treatment, from performing skin biopsies to helping navigate insurance coverage for Mohs surgery. Let us help you make informed choices for your skin health.

References

  1. American Academy of Dermatology Association. "Understanding Mohs Surgery." Available at: https://www.aad.org

  2. American Academy of Dermatology Association. "When is Mohs Surgery Necessary?" Available at: https://www.aad.org

  3. Skin Cancer Foundation. "Mohs Surgery." Available at: https://www.skincancer.org

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