Payment Options
Our staff will file your insurance claims on your behalf. Your co-pay and balance are payable with:
- Cash
- Check
- Debit
- MasterCard
- Visa
- Discover
- AMEX
Insurance Plans Accepted
Dr. Brian Gladnick and The Carrell Clinic work with a number of popular insurance companies. The best way to estimate the cost of your treatment and insurance coverage is to contact your benefits provider directly.
If your insurance company is not listed here, please feel free to contact our practice at (214) 220-2468.
- Aetna HMO
- Aetna PPO
- Aetna MCR AV
- Aetna BOA only (Yellow Card)
- BCBS PPO/POS
- BCBS HMO
- BCBS HMO Blue (Blue Essentials-ref required/Blue Essentials-no ref required)
- BCBS HMO Premier
- Care Improvement Plus-Medicare (will soon be UHC) Presby/Baylor
- Christians Health Ministries (all will be self-pay)
- Cigna HMO/PPO/Local Plus
- Cigna Focus (no OON benefits)
- BQA doctors only
- Coventry/First Health PPO (Presby only)
- DARS (requires a purchase order from DARS)
- Healthsmart (ACCEL, GEPO, PPO)
- Humana (ChoiceCare) PPO
- Humana (ChoiceCare Concentric Network) Humana (ChoiceCare) MCR PPO/PFFS
- Humana (ChoiceCare) MCR HMO
- Humana TRS
- Medicaid (traditional plan only)
- Medi-Share PHCS Network
- Medicare
- MultiPlan
- PHCS
- Planvista (NPPN) Presby and BUMC only
- Scott & White PPO
- Scott & White PPO-BQA Doctor Plan only
- Tricare Prime (only if no referral required-will pay OON)
- Tricare Standard-no referral but will be OON
- UHC all plans but Compass
- UHC MCR ADV/AARP/Secure Horizon (Presby/NCSC only)
- Veterans Admin (must have approval)
The wound is closed using a Dermabond mesh, which is a sterile, superglue-like barrier that seals off the wound from the outside world. There is no need to cover the wound with any dressings or other materials. However, if you are putting ice on the area or using an ice machine, a towel or some other barrier should cover the skin so that there is no moisture condensation on the wound.
Showering is allowed right away after surgery. You may allow soap and water to gently pass over the Dermabond, but do not try to scrub, clean, or spray the area directly with water. Soaking of any kind (bath, hot tub, or pool) is strictly forbidden until six weeks after surgery.
Over time, the Dermabond will gradually flake away with the natural exfoliation of your skin. If it starts to peel prematurely, the peeling edges may be trimmed with a scissor, but do not pull any additional Dermabond away from the wound. In most patients, it should stay in place for 4-6 weeks.
Most simply put, a joint replacement is a surgical procedure in which the arthritic, worn out joint surfaces are removed, and then resurfaced with a low-friction bearing surface to eliminate pain and restore function. However, there are many types of joint replacements, several different ways to dissect down to the involved joint (called surgical approaches), and various types of bearing surfaces used by different surgeons.
One of the most important components of the pre-operative discussion is to get a full understanding of the surgeon’s training and experience, what type of operation they plan to perform, and why.
After a direct anterior total hip replacement, total knee replacement, or partial knee replacement, patients may immediately weight bear as tolerated, with no restrictions.
Most patients will spend one night in the hospital and go home the next day, but some patients may prefer to go home on the same day of surgery. Specific physical therapy protocols are available on the website and will be initiated by your physical therapist.
Overall recovery time depends on the age, activity level, and health of the patient. Generally speaking, for the first 2-3 weeks, patients are encouraged to walk, practice going up and down stairs, and resume the activities of daily living.
By 4-6 weeks, most patients have discontinued the need for a cane and are walking unsupported.
From 6-12 weeks, the patient will notice larger gains in physical therapy in terms of endurance, range of motion, and strength.
Usually, by 3-4 months, the patient is starting to feel close to normal and is resuming most activities, but many patients continue to see ongoing improvement even up through one year after surgery.