Coverage Verification
Is Your Joint Pain Treatment Covered?
Find out if your insurance may cover joint pain treatments like hyaluronic acid injections, cortisone shots, and physical therapy. Get personalized guidance based on your specific plan.
Insurance Coverage Checker
Find out if your treatment may be covered
Coverage Information Retrieved
HA Injections Generally Covered:
Cortisone Injections Covered:
Prior Authorization Required:
Typical Cost:
What Happens Next?
- 1 A specialist will contact you within 1-2 business days
- 2 They'll verify your specific coverage details
- 3 You'll receive personalized treatment recommendations
This tool provides general guidance only. Actual coverage varies by plan. A specialist will verify your specific coverage.
Understanding Insurance Coverage
Medicare Coverage (Parts A, B, and Advantage)
- Hyaluronic Acid Injections: Covered under Part B for knee osteoarthritis when medically necessary
- Cortisone Injections: Covered under Part B for most conditions
- Physical Therapy: Covered under Part B with no annual cap
- Your Cost: Typically 20% coinsurance after $240 annual deductible
Private Insurance (BCBS, Aetna, Cigna, UHC, Humana)
- Coverage Varies: Each plan has different requirements and limitations
- Prior Authorization: Usually required for injection treatments
- Documentation Needed: Failed conservative treatment, imaging, diagnosis
- In-Network: Using in-network providers significantly reduces costs
Important to Know
- • Coverage information shown is general guidance, not a guarantee
- • Your specific plan may have different requirements
- • Always verify coverage with your insurance before treatment
- • A specialist can help verify your specific coverage
What Insurance Typically Requires
For HA (Gel) Injections
- Diagnosis of knee osteoarthritis
- X-rays showing arthritis
- Failed conservative treatment (PT, NSAIDs)
- No injection in past 6 months (varies)
For Cortisone Injections
- Diagnosis of inflammatory condition
- Documentation of medical necessity
- Usually no prior authorization needed
- Frequency limits may apply (3-4/year)
Have Questions About Your Coverage?
Our team can help verify your specific insurance coverage and explain your options. Fill out the form above and a specialist will contact you.
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