UnitedHealthcare Coverage for Cortisone Injections
Yes, UnitedHealthcare covers cortisone injections for joint pain across most plans. Unlike HA injections, cortisone typically does not require prior authorization.
Quick Facts
| Coverage Aspect | Details |
|---|---|
| Covered? | Yes |
| Prior Authorization | Not usually required |
| Network | In-network recommended |
| Frequency Limits | 3-4 per joint per year |
Coverage Requirements
UHC covers cortisone when:
- You have a documented joint condition
- Treatment is medically necessary
- Provider is in-network (recommended)
Easier Than HA Coverage
| Factor | Cortisone | HA Injections |
|---|---|---|
| Prior auth | No | Yes |
| Documentation | Minimal | Extensive |
| Conservative treatment first | Not required | Required |
What You’ll Pay
| Plan Type | Typical Cost |
|---|---|
| PPO in-network | $20-$75 copay |
| HMO | $20-$50 copay |
| High-deductible | Full cost until deductible |
| Out-of-network | 30-50% coinsurance |
Frequency Considerations
While coverage is straightforward, clinical guidelines recommend:
- Maximum 3-4 injections per joint per year
- 6-12 weeks minimum between injections
- Consider alternatives if needing frequent injections