Cigna Coverage for HA Injections
Cigna covers hyaluronic acid injections for knee osteoarthritis on most plans, with prior authorization required.
Quick Facts
| Coverage Aspect | Details |
|---|---|
| Covered? | Yes (most plans) |
| Prior Authorization | Required |
| Network | In-network recommended |
| Conservative Treatment | Must try first |
Prior Authorization Process
Required Documentation
- OA diagnosis with ICD-10 code
- X-ray evidence showing joint changes
- Failed conservative treatment:
- Physical therapy (4-6 weeks)
- Oral medications
- Activity modifications
- Medical necessity statement
Timeline
- Submit request through provider
- Decision typically within 5-15 days
- Get approval number before treatment
What You’ll Pay
| Plan Type | Typical Cost |
|---|---|
| PPO in-network | $50-$150 copay |
| HMO | $40-$100 copay |
| High-deductible | Full cost until deductible |
Tips for Approval
- Complete conservative treatment before requesting
- Use in-network provider
- Ensure thorough documentation
- Request peer-to-peer if initially denied