Degenerative Joint Disease Treatment Coverage with Aetna
Compare Aetna coverage for 8 treatments commonly used for degenerative joint disease. Find out what's covered, requirements, and estimated costs.
Treatment Options & Coverage
Bracing and Orthotics
Typically CoveredCortisone Injections
Typically CoveredRequirements: Medical necessity documentation • Appropriate diagnosis
Hyaluronic Acid Injections
Typically CoveredRequirements: Diagnosis of knee osteoarthritis confirmed by imaging • Failed conservative treatment (NSAIDs, physical therapy) +2 more
Joint Supplements
Not CoveredOral Medications
Typically CoveredPhysical Therapy
Typically CoveredRequirements: Medical necessity • Referral from PCP (some plans)
PRP Injections
Not CoveredTopical Treatments
Typically CoveredCoverage Comparison
Side-by-side comparison of Aetna coverage for degenerative joint disease treatments.
| Treatment | Covered? | Prior Auth | Est. Cost | Evidence |
|---|---|---|---|---|
| Bracing and Orthotics | No | $50-$200 (OTC); $400-$1,500 (custom/unloader) | moderate | |
| Cortisone Injections | No | $100-$300 per injection (with insurance copay typically $20-$50) | strong | |
| Hyaluronic Acid Injections | Required | $300-$1,500 per injection series (without insurance) | moderate | |
| Joint Supplements | No | $15-$60 per month | limited | |
| Oral Medications | No | $5-$50 per month (OTC); $30-$200 (prescription) | strong | |
| Physical Therapy | No | $75-$150 per session (before insurance) | strong | |
| PRP Injections | No | $500-$2,500 per injection | emerging | |
| Topical Treatments | No | $10-$30 (OTC); $50-$300 (prescription) | moderate |
Recommended Approach
Based on Aetna coverage for degenerative joint disease, we recommend:
- 1 Start with covered conservative options (physical therapy, oral medications)
- 2 If insufficient relief, progress to injection therapies
- 3 Document treatment history for any prior authorization requirements
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Coverage varies by plan. Contact Aetna to confirm your specific benefits.
Other Conditions + Aetna
Degenerative Joint Disease + Other Insurance
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