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Best thing to do is ask your physician - if he/she performs surgery, he/she likely has someone who boards surgery and/or deals with Medicare. Then you'll get reliable answers.
A reverse total shoulder arthroplasty costs approximately $15,000 to $17,000 or more. Unfortunately over 50% have failures or complications. Medicare says NO, too risky for the patient.
A reverse total shoulder implant ranges from $10,500 to $13,000 or more, depending on the manufacturer; the Medicare reimbursement doesn’t cover the cost of this procedure either.
If you have supplemental coverage, check with your insurance company.
Really speak with your secondary insurance to see what they will pay for in rehab and for how long (like do they just take the report of the PT or do they do their own evaluation). You may have to pay a lot of the % of the rehab costs. If you don't "progress" in your PT/OT, you will get discharged from insurance too. My mom was driven in rehab as her goal was to be able to roll her hair and hold a mirror to see the back of her head too. Think if you could reasonably do the rehab needed.
Having used both private and hospital affiliated rehab facilities, I'd go with the hospital ones any time, especially the ones right on a hospital campus or in a hospital clinic or other facility specifically affiliated with the hospital.
Two of the ones I've gone to at the time had special programs by which a patient could return for either 1 or 2 months after completing insurance paid therapy and work out on his/her own for $25/month. That's a bargain by any standard. A doctor's approval might be necessary for an older person; for me, I just signed up and paid.
Another one wanted about $100 for another month of therapy, 3x what I could have paid had I chosen a hospital affiliated PT program.
Another advertised at a senior expo that they also offered patient paid follow-on otherapy at a reasonable price (something around $50/month if I remember correctly), but balked, hedged and wavered when we got to that point. They won't be getting any more of our business.