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Dr. Andrew Rynne

Family Physician

Exp 18 years

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An aortic aneurysm 4.5 before paying for surgery

Will most health insurances require that an aortic aneurysm 4.5 cm before paying for surgery? I am 37 year-old male who has been recently been diagnosed with an aortic aneurysm in the area of 4cm. I will not know the exact size until 08/20. I am not going to be available for surgery for two years if I do not immediately go under the knife. Will most insurance companies pay for the surgery if the diameter is less than 4.5 cm? I currently have Humana and wonder about their coverage?
Mon, 14 Dec 2009
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  User's Response
Insurance issues aside, most vascular surgeons wait until the aneurysm is 5cm or larger before operating. The exception is if the aneurysm started growing rapidly. Why? Actually, it's simple. Numerous studies have shown that there is no mortality benefit to fixing a 'small' aneurysm. The risk from the surgery for a small AAA is actually higher than the risk from the aneurysm. If the AAA is around 4cm, then we usually get annual ultrasounds.
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