Navigating insurance can be confusing, time-consuming, and frustrating — especially when all you want is relief from knee pain. That’s why we created myMISHA, a free patient access program dedicated to helping you, in coordination with your doctor and their staff, every step of the way.
What myMISHA Does for You
- Guides you through the insurance process
- Coordinates with your doctor and their staff
- Helps gather the necessary paperwork
- Assists in the process from beginning to end
With myMISHA, you get a knowledgeable partner who speaks the language of insurance and advocates to get your MISHA treatment approved.
A myMISHA Case Manager acts as your one, primary contact for updates and questions throughout the process.
The myMISHA team made it happen. They navigated all the hurdles with my insurance so I could focus on getting better. For me, MISHA did more than reduce pain—it gave me my life back.
Jason, 49, MISHA Knee System patient5 years post-op left knee (FDA study), 1 year post-op right knee (post-FDA authorization)
Get Started
The process below will begin once you and your doctor have determined that MISHA is the right treatment for you.
- Complete the HIPAA form – This is necessary to enroll in the myMISHA program.
- Submit Prior Authorization – We coordinate with your doctor and their staff to gather the required documentation.
- Insurance Review Process – We work with your insurance provider until your MISHA treatment is approved or all appeal options are exhausted.
If your MISHA treatment is approved, the myMISHA team will notify you, your doctor and their staff. If a surgery date isn’t scheduled yet, now’s the time to book it.
Questions about your MISHA case?
Contact the myMISHA team
FREQUENTLY ASKED QUESTIONS
Insurance coverage can vary depending on your specific health plan. The myMISHA team will work directly with your insurance company to request authorization. We will keep you informed every step of the way.
Yes, the myMISHA program is provided at no charge to patients whose surgery includes the MISHA Knee System.
Most insurance plans take between 30-120 days to review and make a determination on your MISHA treatment. We’ll let you know as soon as a decision is made and keep you updated if additional steps are needed.
If your MISHA treatment prior authorization request is denied, don’t worry – denials are not the end of the process. Our team will assist your provider in submitting an appeal, request a peer-to-peer review, or gather additional documentation to support medical necessity.
Out of pocket costs (such as deductibles, copays or coinsurances) depend on your insurance plan. Your physician and the facility will be able to discuss any financial responsibility once your procedure is scheduled.
You will need to sign the HIPAA authorization form, so we can speak with your insurance company on your behalf. Additional forms may be required while we navigate the insurance process. The myMISHA team will guide you through the process.
Yes. If you’ve already started the process, you can reach out to the myMISHA team directly at info@mymisha.com and 1-855-myMISHA. We’re here to provide updates and answer questions anytime.
Your procedure can be scheduled once you and your doctor have determined that the MISHA Knee System is right for you. However, some providers will wait to schedule your procedure after insurance approval is obtained. Once that happens, your provider’s office will work with you to set a date that works for you.
Studies have shown that patients who begin strength and flexibility exercises before surgery may have a faster recovery after surgery. Most “pre-habilitation” exercises can be done at home, without any special equipment, for several weeks before surgery. Ask your surgeon if a pre-habilitation program is right for you. If you have any questions or updates to your insurance, please contact us right away so we can keep your case moving forward.
In some cases, even after multiple appeals, the insurance company may issue a final denial. We understand how disappointing this can feel, especially when you’re seeking relief and have already put time and energy into the process. A final denial doesn’t mean you’re out of options, the myMISHA team will walk you through what this means and help you explore next steps. Above all, we’re here for you whether it’s answering questions, helping you understand your options, or guiding you through what comes next.
You may choose to enroll in the myMISHA (Program) that obtains insurance coverage information for the MISHA Knee System. To enroll you must complete the HIPAA Authorization form (Authorization). Please note that your treatment is not conditioned on signing the Authorization, however by refusing to sign the Authorization you will not be able to enroll in or receive assistance from the Program (for example, assistance with determining your insurance coverage). If you choose to sign the Authorization, you authorize your healthcare provider(s), including your treating provider and the facility where your surgery takes place, and your health insurance company (collectively “Providers”) to disclose to Moximed, the manufacturer of the MISHA Knee System, its affiliates, and their respective employees, agents, and contracted third parties (collectively “Companies”) your protected health information (“Health Information”) to administer the Program. See the HIPAA Authorization form for full details.