Medicare Joint Injection Coverage Checker
Find out if your joint pain treatment may be covered by Medicare. Answer a few quick questions to understand your eligibility for covered injection treatments.
Note: This is an educational self-assessment tool, not a medical diagnostic. Results provide general guidance only and do not replace professional medical evaluation.
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Medical Disclaimer
This assessment is for educational and informational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. The results are based solely on your self-reported answers and cannot replace a proper medical evaluation by a qualified healthcare provider.
This Is Not a Diagnostic Tool
- • Results do not diagnose any medical condition
- • Only a licensed healthcare provider can diagnose joint conditions through examination, imaging, and medical history review
- • Do not delay seeking medical care based on assessment results
- • If you are experiencing severe pain, sudden swelling, or inability to move a joint, seek immediate medical attention
About Treatment Suggestions
Any treatment options mentioned in your results are general information only. Treatment appropriateness depends on many factors including your complete medical history, current medications, allergies, and individual circumstances that only your healthcare provider can properly evaluate. Always discuss treatment options with your doctor before making healthcare decisions.
Insurance & Coverage: Coverage information referenced in results is general guidance only. Actual coverage varies by plan and is subject to change. Always verify coverage with your insurance provider or Medicare before scheduling treatments. Joint Pain Authority is not affiliated with Medicare, CMS, or any government agency.
About This Eligibility Checker
This tool helps you understand whether your joint pain treatment might be covered by Medicare. It takes about 2-3 minutes to complete.
What Medicare Typically Covers
Medicare Part B generally covers medically necessary joint injections for osteoarthritis, including:
- Hyaluronic acid (viscosupplementation) injections for knee osteoarthritis
- Corticosteroid injections for various joints
- The office visit associated with the injection
Common Coverage Requirements
For coverage, Medicare typically requires:
- Diagnosis of osteoarthritis documented by a healthcare provider
- Imaging evidence (X-rays showing arthritis)
- Failed conservative treatment (tried PT, medications, etc.)
- Medical necessity documented in your records
Cost Sharing
Even with coverage, you’ll typically pay:
- Annual Part B deductible (currently $240 in 2024)
- 20% coinsurance after the deductible
- These costs may be covered if you have supplemental insurance (Medigap)
Important Disclaimer
This checker provides general information based on typical Medicare coverage requirements. It is not a guarantee of coverage. Actual coverage depends on:
- Your specific Medicare plan
- Your individual medical situation
- Current Medicare policies and guidelines
- Your provider’s documentation
Always verify coverage with Medicare (1-800-MEDICARE) or your Medicare Advantage plan before treatment.