Rotator Cuff Injuries Treatment Coverage with medicare-advantage
Compare medicare-advantage coverage for 3 treatments commonly used for rotator cuff injuries. Find out what's covered, requirements, and estimated costs.
Treatment Options & Coverage
Cortisone Injections
Typically CoveredRequirements: Medical necessity
PRP Injections
Not CoveredPhysical Therapy
Typically CoveredRequirements: In-network provider typically required • May have different visit limits than Original Medicare
Coverage Comparison
Side-by-side comparison of medicare-advantage coverage for rotator cuff injuries treatments.
| Treatment | Covered? | Prior Auth | Est. Cost | Evidence |
|---|---|---|---|---|
| Cortisone Injections | No | $100-$300 per injection (with insurance copay typically $20-$50) | strong | |
| PRP Injections | No | $500-$2,500 per injection | emerging | |
| Physical Therapy | No | $75-$150 per session (before insurance) | strong |
Recommended Approach
Based on medicare-advantage coverage for rotator cuff injuries, 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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Search for specialists who treat rotator cuff injuries and accept medicare-advantage.
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Coverage varies by plan. Contact medicare-advantage to confirm your specific benefits.
Other Conditions + medicare-advantage
Rotator Cuff Injuries + Other Insurance
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