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Is chelation therapy for treatment of band keratopathy permitted under Surgery Class 1 coverage?

Yes. Calcific band keratopathy is a degeneration of the superficial corneal characterized by a linear band of calcium or urates deposited across the cornea. The condition can be caused by chronic inflammatory ocular disease, kidney disease, gout, or other conditions that result in high levels of calcium in the body. Chelation therapy is an effective treatment to remove the calcium deposits by applying an ethylenediamine-tetraacetic acid (EDTA) solution and superficially scraping the corneal surface. Before undergoing chelation treatment, patients should undergo a workup to rule out associated metabolic or renal disease, and underlying conditions should be treated or controlled as much as possible.

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An ophthalmologist pays nearly half a million dollars in premiums over the course of a career. Premium paid is directly related to a carrier’s claims experience. OMIC has a higher win rate taking tough cases to trial, full consent to settle (no hammer) clause, and access to the best experts. OMIC pays 25% less per claim than other carriers. As a result, OMIC has consistently maintained lower base rates than multispecialty carriers in the U.S.

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