Does Medicare Cover Knee Gel Injections?

If you’re living with osteoarthritis in your knees, you know how difficult and painful it can be. Today in the United States, over 50 million people have osteoarthritis.

When you are living with knee pain, stiffness, loss of flexibility, bone spurs, swelling and tenderness, you may also experience a general reduction in your day-to-day quality of life.

Knee gel injections may offer one possible solution.

Medicare Benefits Solutions

Mar 16, 2022

timer 5 minutes read

Coverage for Knee Gel Injections

If you have Original Medicare Part B (medical insurance) or a Medicare Advantage (Part C) plan, your benefits include coverage of knee gel injections if you are eligible.

To meet the requirements for eligibility, you must meet the following requirements:

  • The injections are for the knees only
  • You show evidence of knee osteoarthritis with X-rays
  • Coverage is acceptable for injections given no more often than every six months
  • Your Medicare-affiliated health care provider must certify that the injections are medically necessary

TIP: Test your knowledge, and take our Medicare quiz.

Find a new plan

Get recommendations based on what's important to you, and compare them to your existing plan.

What are Knee Gel Injections?

In cases of severe knee osteoarthritis, many physicians may suggest either having knee replacement surgery or treatment with gel injections in the knee. The gel injection treatment is non-invasive and helps by temporarily relieving the pain and restricted mobility that comes with osteoarthritis.

Knee gel injections, also known as viscosupplementation, are gels that consist of hyaluronic acid, a substance found naturally in the synovial fluid around all the joints. A supplement of this fluid, injected into the knee, can provide better lubrication and cushioning so the joint bones don’t rub together.

Knee Gel Injections and Other Therapies

Alternative therapies to help manage arthritis and knee pain include:

In many cases, people dealing with constant pain will eventually require knee replacement surgery. However, getting knee gel injections could be a great option for the short-term relief of your symptoms.

If your health care provider has mentioned knee gel injections as a treatment option to limit the pain and increase mobility, you might be concerned about your Medicare insurance coverage. To meet the requirement of medical necessity, certain conditions apply. You are experiencing knee pain due to osteoarthritis, regardless of whether the pain is accompanied by stiffness and swelling.

TIP: Discover tips for modifying daily activities when you have bad knees.

Get easy-to-read, informative Medicare articles like this in your inbox every month.

Medicare Benefits Solutions is a non-government website. This is a solicitation for insurance. By submitting information on this site, I am providing my written consent for Medicare Benefits Solutions, herein after referred to as “Medicare Benefits”, which is a brand operated by HealthCompare Insurance Services Inc., its sales agents, or affiliates to contact me (even if I’m on a state or national do not call registry) at the phone number or email address listed to provide me with quotes or information about Medicare Advantage, Medicare Supplement, and Medicare Part D plans. I further consent to such calls or texts sent via autodialer, automated technology, prerecorded message and/or artificial voice. I understand my consent is not a condition of purchase and that I can revoke my consent at any time via medicarebenefits.com/about-us/contact-us. Additional charges may apply to SMS, call, or Internet usage depending on your data providers.

Knee Pain and Medicare Benefits

Your Medicare Part B benefits cover the cost of your knee gel injections if the administering health care provider accepts Medicare assignment and they are given in their medical facility or office or as an outpatient in a hospital. The health care provider who administers the injections is the one who purchases the medication, you don’t buy it yourself.

To meet the requirement of medical necessity, certain conditions apply. You are experiencing knee pain due to osteoarthritis, regardless of whether the pain is accompanied by stiffness and swelling. Knee pain doesn’t respond to other forms of therapy like weight loss or physical therapy. Knee pain doesn’t respond to over-the-counter drugs like nonsteroidal anti-inflammatory medications.

Your Medicare Part B benefits cover the cost of your knee gel injections if the administering health care provider accepts Medicare assignment and they are given in their medical facility or office or as an outpatient in a hospital. The health care provider who administers the injections is the one who purchases the medication, you don’t buy it yourself.

Your Medicare Part B benefits cover 80 percent of the final, approved cost of the injections and their administration. You pay the remaining 20 percent as well as your Part B deductible.

If you have coverage with a Medicare Advantage plan, in most cases you must use health care providers, medical facilities, hospitals, and pharmacies that are within your private insurance plan’s network. If you go outside the network, you may have to pay 100 percent of the cost. If you don’t know who is included in the plan’s network, read the policy carefully, or call your provider and ask a representative there.

Cost of Knee Gel Injections Without insurance

Are you wondering how much knee gel injections cost without Medicare insurance? There are several brands of knee gel injections on the market these days and your out-of-pocket cost per injection depends first on the brand you choose. Your cost also depends on where you live and who administers your injection. In the United States, the estimated national average cost for one knee gel injection is $1,012.00.

If your health care provider recommends that you get gel injections to relieve your knee pain and mobility issues, you should do your homework and make a decision based on what’s best for your circumstances. If you have more questions about your Medicare coverage for the injections, you can speak to your physician or a representative of your Medicare plan.

Healthy Living Tips Delivered to Your Inbox

If you’d like to discover more great healthy living tips, news, and information make sure you subscribe to the Medicare Benefits Solutions newsletter!

We cover many great topics including:

TIP: Subscribe to our FREE newsletter today!

Got questions?

Call a licensed sales agent at

877-874-1499
or TTY 771

Mon to Fri 5 am – 6 pm PST | Sat 5 am – 5 pm PST | Sun closed

Send us a message

We aim to reply within 24 hours.



    Medicare Benefits Solutions is a non-government website. This is a solicitation for insurance. By submitting information on this site, I am providing my written consent for Medicare Benefits Solutions, herein after referred to as “Medicare Benefits”, which is a brand operated by HealthCompare Insurance Services Inc., its sales agents, or affiliates to contact me (even if I’m on a state or national do not call registry) at the phone number or email address listed to provide me with quotes or information about Medicare Advantage, Medicare Supplement, and Medicare Part D plans. I further consent to such calls or texts sent via autodialer, automated technology, prerecorded message and/or artificial voice. I understand my consent is not a condition of purchase and that I can revoke my consent at any time via medicarebenefits.com/about-us/contact-us. Additional charges may apply to SMS, call, or Internet usage depending on your data providers.

    Find a plan

    find a plan
    Get plan recommendations

    Compare your current Medicare plan to our recommendations – then choose the plan that gives you more of the things you want.

    Get informative, easy to read health, lifestyle and Medicare articles. Subscribe to our free monthly newsletter.

    Medicare Benefits Solutions is a non-government website. This is a solicitation for insurance. By submitting information on this site, I am providing my written consent for Medicare Benefits Solutions, herein after referred to as “Medicare Benefits”, which is a brand operated by HealthCompare Insurance Services Inc., its sales agents, or affiliates to contact me (even if I’m on a state or national do not call registry) at the phone number or email address listed to provide me with quotes or information about Medicare Advantage, Medicare Supplement, and Medicare Part D plans. I further consent to such calls or texts sent via autodialer, automated technology, prerecorded message and/or artificial voice. I understand my consent is not a condition of purchase and that I can revoke my consent at any time via medicarebenefits.com/about-us/contact-us. Additional charges may apply to SMS, call, or Internet usage depending on your data providers.

    Find a new Medicare plan

    Get a plan recommendation based on what's important to you.