Insurance coverage policies are slow to adopt new technology. Many of the procedures Dr. Hirsch performs are supported by strong clinical evidence but remain inconsistently covered or outright excluded by major carriers. Direct Spine Care removes that barrier entirely.
From first consultation to scheduled surgery, most patients move in a matter of days. There are no authorization requests, no peer-to-peer reviews, and no appeals process. Dr. Hirsch determines what your spine needs based on your imaging and clinical presentation, independent of what a coverage policy written years ago will approve.
Who this is for
- Executives, athletes, and professionals who cannot wait months for an insurance decision
- Patients whose insurer has denied or excluded a procedure Dr. Hirsch recommends
- Patients with high-deductible plans where out-of-pocket costs are comparable to self-pay rates
- Anyone who wants to know the exact cost before making a decision
- Patients already told by another physician that they need a specific spine procedure and want a straightforward cash-pay quote before moving forward
Traveling for care
Many Direct Spine Care patients travel from out of state or abroad specifically to work with Dr. Hirsch. His office coordinates the full care episode, from initial imaging review through post-operative follow-up, so most patients complete their consultation, surgery, and early recovery in a single trip. Telemedicine is available for pre- and post-operative visits, minimizing the time you need to be in Southern California.
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Dr. Hirsch is board-certified and Yale-trained. Read his full background.
"Dr. Hirsch and his team got me into surgery as soon as possible. He explained everything, the office handled everything, and I am back to my active self. I only wish I had gone sooner."
"My recovery was much easier than expected. I had very minimal surgical pain, didn't need narcotics, and was back to my daily walks within a few days."