Shoulder Osteoarthritis Treatment Coverage with other
Compare other coverage for 7 treatments commonly used for shoulder osteoarthritis. Find out what's covered, requirements, and estimated costs.
Treatment Options & Coverage
Cortisone Injections
Typically CoveredRequirements: Medical necessity documentation • Diagnosis of joint pain or inflammation
Hyaluronic Acid Injections
Typically CoveredRequirements: Documented knee osteoarthritis diagnosis (ICD-10 M17.x) • X-ray evidence of joint degeneration +3 more
Oral Medications
Typically CoveredPRP Injections
Typically CoveredRequirements: TRICARE provisional coverage requires medical necessity • VA coverage varies by facility and clinical indication +1 more
Physical Therapy
Typically CoveredRequirements: Referral from provider (TRICARE Prime) • Medical necessity
Topical Treatments
Typically CoveredStem Cell Therapy
Not CoveredCoverage Comparison
Side-by-side comparison of other coverage for shoulder osteoarthritis treatments.
| Treatment | Covered? | Prior Auth | Est. Cost | Evidence |
|---|---|---|---|---|
| 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 | |
| Oral Medications | No | $5-$50 per month (OTC); $30-$200 (prescription) | strong | |
| PRP Injections | Required | $500-$2,500 per injection | emerging | |
| Physical Therapy | No | $75-$150 per session (before insurance) | strong | |
| Topical Treatments | No | $10-$30 (OTC); $50-$300 (prescription) | moderate | |
| Stem Cell Therapy | No | $3,000-$25,000 | insufficient |
Recommended Approach
Based on other coverage for shoulder osteoarthritis, 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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Shoulder Osteoarthritis + Other Insurance
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