The Patient Promise® Benefits & Coverage The Patient Promise® program offers unique healthcare coverage focused on spine surgery guarantees, reimbursing you up to $5,000 for any additional out-of-pocket expenses should you require a follow-up spine surgery within a year of the initial operation. According to the Journal of Spine Surgery, revision rates for spinal surgeries in the US range from 8% to 45%.This program is free; your only requirement is to choose a participating spine surgeon.Our spine surgeons are carefully chosen for their expertise in spine surgery, ensuring all procedures are carried out on-site at premier US hospitals and surgery centers.