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MyOrthoHealth – Shoulder Pain FAQs

What is the MyOrthoHealth – Shoulder Pain Bundle?

MyOrthoHealth – Shoulder Pain Bundle includes coordinated, proactive care from your initial visit and physical therapy to surgery and rehabilitation when needed. One of the fundamental objectives of this bundle is to reduce unnecessary surgeries. We support you through physical therapy first, and then proceed to advanced imaging and surgery only when we have deemed that these are the clinically appropriate next steps.

What does the Shoulder Pain Bundle cost?

Contact one of our patient navigators by clicking this link.

Who is eligible?

Please check with your employer to confirm eligibility for the bundle, or contact one of our patient navigators through the Chat box below.

How do I enroll in the bundle?

Eligible employees must enroll with a patient navigator. Start a conversation with a patient navigator in the Chat box below or schedule an appointment at this link.

What happens if my health plan changes mid-bundle?

You must be enrolled in a bundle-eligible health plan. You can move between bundle-eligible health plans mid-bundle, but you cannot transition to an ineligible health plan and stay in the bundle. If you make any changes to your health plan, please contact your patient navigator. Please visit your employer’s benefits website to confirm which health plans qualify, or contact one of our patient navigators through the Chat box below.

What services are included in the bundle?

Bundle-related services conducted by Vanderbilt providers at any of the bundle-eligible locations listed in this searchable map directory, to include:

  • Concierge service with a dedicated patient navigator
  • Orthopaedic or Sports Medicine provider appointments
  • Physical therapy
  • Telehealth
  • Joint injections

If surgery is determined to be the most appropriate course of treatment, the bundle includes:

  • Imaging
  • Surgical preparedness assessments
  • Emergency admissions

 

What services are NOT covered?

  • Non-shoulder pain-related care
  • Services rendered at locations not included in the bundle
  • Prescriptions (Rx)

What locations are included in the bundle?

For a current list of locations participating in the bundle program, view this link for a searchable map. The map may take a moment to load depending on your internet connection.

*Note: Vanderbilt Tullahoma Harton Hospital and Vanderbilt Bedford Hospital are not participating in bundles at this time.

How long does the bundle last?

Enrolled patients have access of up to 16 weeks of physical therapy. If surgery is deemed the most appropriate course of treatment, the total length of the bundle is up to nine months.

What happens at the conclusion of the bundle?

Any shoulder-related appointments at the conclusion of the bundle will be billed through your traditional health insurance.

Who do I contact with questions?

Start a conversation in the Chat box below to check your eligibility. If you are eligible or have additional questions, schedule an appointment at this link.