Pelvic floor conditions — incontinence, prolapse, fecal incontinence, pelvic pain, hemorrhoids — are medical conditions, not cosmetic concerns. Nearly every commercial plan, Medicare, and most Medicare Advantage plans cover them as such.
Accepted Plans
This is the current list. We verify the specific subplan and your specific benefits before your first visit, so there are no surprises on the day of the appointment.
| Plan | Products |
|---|---|
| Aetna | All commercial and Medicare Advantage products |
| Blue Cross Blue Shield of Illinois | PPO, HMO, and Medicare Advantage |
| Cigna | All commercial products |
| Devoted Health | Medicare Advantage |
| Humana | Commercial and Medicare Advantage |
| Medicare | Original Medicare Part B |
| Medicare Advantage | Most Medicare Advantage plans accepted |
| Meritain Health | Commercial products (administered by Aetna) |
| UnitedHealthcare | All commercial and Medicare Advantage products |
If your plan is not listed here, call us — we may still be in-network through a related product. We also see out-of-network and self-pay patients with transparent up-front pricing.
The Process
Provide your insurance information through the scheduling page or by phone.
Our team contacts your insurer to confirm in-network status, any authorization requirements, and your specific benefit detail.
You receive a written summary of expected coverage and any anticipated out-of-pocket cost before the visit is finalized.
If anything changes during care (e.g., a procedure is recommended), we re-verify and provide an updated estimate before proceeding.
Insurance FAQ
Yes. Pelvic floor disorders — incontinence, prolapse, fecal incontinence, pelvic pain — are medical conditions. They are not cosmetic, and they are not optional quality-of-life concerns from an insurance perspective. Diagnostic visits, in-office procedures, surgical care, and pelvic floor physical therapy are typically covered under standard medical benefits.
— Lisa L. Johnson, M.D., U.R.P.S.
Yes — by nearly every commercial plan and by Medicare. Hemorrhoid evaluation and the office-based banding procedure are medical, not cosmetic. Coverage follows standard outpatient procedure benefits.
— Lisa L. Johnson, M.D., U.R.P.S.
Our team verifies your specific plan and provides a written estimate of any expected out-of-pocket cost before scheduling any procedure. If a prior authorization is required, our office handles that directly — you do not need to chase it down with your insurer.
— Lisa L. Johnson, M.D., U.R.P.S.
We see out-of-network and self-pay patients. Transparent pricing is provided in writing before the visit. Many patients find the cost of a comprehensive PHII evaluation competitive with what they would pay across a fragmented multi-visit workup elsewhere.
— Lisa L. Johnson, M.D., U.R.P.S.
Original Medicare Part B covers the diagnostic visits, in-office procedures, and surgical care that this practice provides. Medicare Advantage plans typically cover the same services, though specific authorization requirements vary. We verify your specific Medicare Advantage plan before your first visit.
— Lisa L. Johnson, M.D., U.R.P.S.
Coverage verification takes about 15 minutes once we have your insurance information. There is no obligation to schedule until you have the written estimate in hand.
