Custom Design Benefits and The Christ Hospital have teamed up to offer employees and their covered dependents enrolled in your employee medical plan an innovative new program to provide hip and knee replacements! Through The Christ Hospital Joint Care Center of Excellence, eligible participants in need of a total-hip or total-knee replacement will receive a comprehensive package of care including:
Orthopaedic physician assessment
Pre-surgical testing services
Joint replacement surgery
Inpatient hospital care
Post-discharge services
In addition, your employer will waive all co-pays related to your surgery, which can amount to $1500 in savings to you for each participant who elects to participate in the program.
Who is eligible?
Covered employees and covered dependents requiring an uncomplicated total knee or total hip replacement procedure.
What care is included as part of this program?
Phases
Services included in the Joint Replacement Program
Orthopedic Assessment
Initial orthopedic visit to determine surgical neccessity.
Required imaging (i.e: Xrays, MRI, Bone Scan)
Pre-Operative (“Pre-Op”) Services
The following to occur within The Christ Hospital Health Network prior to surgery:
Medical clearance performed by a The Christ Hospital Physician - Primary care (including labs)
Pre-op education class at The Christ Hospital (TCH)
Pre-admission testing at TCH
Pre-op discharge plan (by phone by a social worker).
The following services are excluded from the Joint Replacement Program and are not included in the program:
Pre-operative specialty consults required (i.e., cardiology, endocrine, etc.)
Voluntary pre-operative autologous blood donation.
Surgery and Post-Operative (“Post-Op”) Services
Surgery (both technical and professional fee), including:
Inpatient stay, including:
Specialty consults required during the Joint Replacement Program (i.e., cardiology, endocrine, infectious disease, etc.).
Post-op discharge plan: initial plan reviewed by a TCH physician after surgery to incorporate any required changes/modifications. The Post-op discharge plan will address travel considerations.
For further clarification, private rooms are excluded from the Joint Replacement Program and are not included in the program (unless a private room is medically neccessary).
Post-Discharge
The following outpatient durable medical equipment (“DME”) is included:
For further clarification, the following services are excluded from the Joint Replacement Program and not included: