5 doctors weighed in:

When will medicare pay for total knee replacement?

5 doctors weighed in
Dr. Rohit Keswani
Physical & Rehabilitation Medicine
3 doctors agree

In brief: When indicated

Medicare will pay for a total knee when it is medically indicated, which would typically mean when the patient has severe arthritis that limits their function.
You would have to be a medicare beneficiary, which typically means you would be over the age of 65, although there are a few exceptions to this.

In brief: When indicated

Medicare will pay for a total knee when it is medically indicated, which would typically mean when the patient has severe arthritis that limits their function.
You would have to be a medicare beneficiary, which typically means you would be over the age of 65, although there are a few exceptions to this.
Dr. Rohit Keswani
Dr. Rohit Keswani
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Dr. Frederick Buechel, jr. md
Orthopedic Surgery

In brief: Medicare total knee

Medicare has specific rules and requirements before they will pay for a total knee replacement for members.
Patients need to have arthritis that is painful. They must have had 90 days of documented conservative treatment that has failed to relieve the patients pain. This includes nsaids, pt, cortisone, and hylauronic acid injections & arthroscopy. Xray must show advanced arthritis of the knee.

In brief: Medicare total knee

Medicare has specific rules and requirements before they will pay for a total knee replacement for members.
Patients need to have arthritis that is painful. They must have had 90 days of documented conservative treatment that has failed to relieve the patients pain. This includes nsaids, pt, cortisone, and hylauronic acid injections & arthroscopy. Xray must show advanced arthritis of the knee.
Dr. Frederick Buechel, jr. md
Dr. Frederick Buechel, jr. md
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