Does Insurance Cover SoftWave or Shockwave Therapy?

Coverage depends on the device, procedure, diagnosis, and your plan. Here's how billing works at our clinic and what to ask your insurer.

Short answer: SoftWave Solana Beach is a cash-based practice, and most insurers do not cover SoftWave care. Some people do report coverage for certain shockwave procedures, which is why stories online conflict. We can't promise reimbursement, but we'll give you a written estimate and an itemized receipt.

Cash-Pay Policy at This Clinic

You'll know your price before treatment. Current pricing is on our cost page, and package options are on visit packages.

Why Coverage Stories Differ

Coverage depends on the device type, the procedure code billed, the diagnosis, the plan, and the state. Some plans list shockwave therapy as investigational for many conditions. A medical policy from your insurer is the only reliable source for your plan.

Questions to Ask Your Insurer

• Is extracorporeal shockwave therapy covered for my diagnosis?
• Does coverage depend on the device type or provider type?
• Is out-of-network reimbursement possible with an itemized receipt?
• Can I use HSA or FSA funds?

HealthCare.gov explains how to check coverage and out-of-network benefits. For HSA/FSA eligibility, see IRS Publication 502.

Written Estimate Before Treatment

Under the No Surprises Act, self-pay patients can receive a good faith estimate — see the CMS overview and our Good Faith Estimate notice.

Request a written estimate — contact us.