Medicare coverage for stem cell therapy will only apply to services that the FDA approves. Further, treatment must be medically necessary for Medicare to cover.
In your research below, you’ll learn which services have coverage and which don’t. Also, we’ll go over supplemental options that can help cover the cost of stem cell treatments.
Does Medicare Cover Stem Cell Therapy
Medicare covers a portion of several types of stem cell therapies. But therapy must be medically necessary and the procedure must have FDA approval.
Some of the most common therapies that Medicare covers are:
- Hematopoietic Stem Cell Transportation
- Autologous Stem Cell Transplantation
Hematopoietic Stem Cell Transplantation
Medicare partially covers Hematopoietic Stem Cell Transplantation. But, coverage only applies to those with specific conditions.
Some of these conditions are Leukemia and Severe Combined Immunodeficiency Disease.
Autologous Stem Cell Transplantation
Another stem cell therapy that Medicare will cover is Autologous Stem Cell Transplantation.
Autologous therapy can help treat Acute Leukemia that’s in remission and Advanced Hodgkin’s Disease.
Medicare Advantage Policies and Stem Cell Therapy
Advantage plans must provide the same coverage as Part A and B. Yet, Advantage plans require you use in-network doctors.
If you go out of network, you’ll have high costs. Advantage plans vary by county, you’ll want to compare plans to see if a policy in your area covers stem cell therapy.
But, it’s possible that none of the plans cover stem cell therapy. So, if there are no plans in your area, don’t be surprised.
Since Medigap covers all claims that Medicare approves, we suggest those policies the most.
Will My Medicare Supplement Plan Cover Stem Cell Therapy
When Medicare approves the service, Medigap pays it’s portion too. You can take the guesswork out by enrolling in Medigap.
When you know what to expect, you can focus on treatment instead of finances. If you’re on the fence about which plan to choose, compare the differences between Advantage and Medigap.
Medicare Coverage for Stem Cell Treatments
Stem Cell Therapy for Knees
It makes sense that people look for alternatives to knee replacements. Many suffer from osteoarthritis in their knees and look for solutions to help with the pain.
Medicare won’t cover stem cell therapy for knees because it doesn’t have FDA approval. You’d have to pay for this treatment.
The average cost for stem cell therapy of your knees is about $3,000 – $5,000 per knee.
Stem Cell Therapy for Back Pain
Medicare won’t cover stem cell therapy for back pain. So, Medicare won’t cover since there’s no FDA approval.
Stem Cell Injections for Shoulders
Like other forms of stem cell therapy, the use within your shoulders doesn’t have FDA approval. Medicare won’t cover stem cell injections for shoulders.
Further, shoulder injections can range in price from $1,500 – $10,000.
Stem Cell Therapy for Arthritis
Medicare won’t cover stem cell therapy to treat arthritis. Stem cells used for arthritis are not approved with the FDA.
You’ll be responsible for the costs. While Medicare doesn’t cover stem cell therapy for arthritis, there are other treatments.
Stem Cell Therapy for Chronic Obstructive Pulmonary Disease
Stem cell therapy for COPD can range from $10,000 – $35,000. Medicare won’t cover this type of therapy because there is no FDA approval.
Sure, Medicare doesn’t cover stem cell therapy for COPD, but there are other options for coverage.
Medicare and Stem Cell Therapy FAQ’S
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