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Does Medicare Cover Iovera Treatment?

Gloved hands with a scalpel begin a knee replacement surgery
By Daniel Petkevich
Jan 11, 2023

This cool treatment is covered

Cold therapy is an exciting new treatment for people looking to improve their wellness or relieve pain. The Iovera treatment provides pain relief without relying on potentially addictive prescription drugs. Medicare can cover the Iovera treatment if you meet the eligibility requirements. A physician that accepts assignment must deem the treatment medically necessary to receive coverage.

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What is the Iovera Treatment?

The Iovera treatment is an innovative procedure used to treat muscle spasms and pain. It uses a specialized device that delivers cold temperatures through the skin, targeting precise areas with extreme accuracy and providing temporary relief of targeted muscles. The Iovera treatment is non-invasive, safe and effective. It can be used on multiple body parts, including shoulders, neck, wrists, elbows and more. Many knee replacement recipients use the Iovera treatment for pain relief.

Medicare coverage of the Iovera Treatment

To be eligible for Medicare coverage of the Iovera Treatment, you must meet certain criteria. Your doctor must deem the treatment medically necessary and acceptable according to Medicare's standards. Also, your physician must accept assignment from Medicare in order for the treatment to be covered. If you are a knee replacement recipient, it is likely that you will qualify for coverage as the treatment is often used for pain relief.
The cost of the Iovera treatment will vary depending on your Medicare plan and whether or not you get approval. According to our Medicare experts, the best way to lower your out-of-pocket costs is to sign up for

Medicare Supplement Plan G.

How do I find out if I am eligible for Medicare coverage of the Iovera Treatment?

If you think you may be eligible to receive Medicare coverage for the Iovera Treatment, speak with your doctor, who can advise you further. They will be able to assess your condition and determine whether or not the treatment is medically necessary. Your doctor can also help you find out if they accept assignment from Medicare in order for the treatment to be covered.

Potential risks associated with the Iovera treatment and what to do if something goes wrong

Though the Iovera treatment is generally considered safe, there are certain risks associated with the procedure. These include pain, redness and swelling at the injection site, as well as headache and dizziness. If you experience any of these symptoms after receiving the Iovera Treatment, contact your doctor immediately for further advice. You should also confirm with your doctor that you are a good candidate for the Iovera treatment, as this treatment is not for everyone.

Tips on selecting a provider for the Iovera treatment

When selecting a provider to administer the Iovera Treatment, it is important to look for one that has experience in giving the procedure. Ask your doctor for recommendations and do some research on the provider’s background. Ensure they are licensed and insured and have sufficient experience administering the procedure. You should also ensure that they accept assignment from Medicare for the treatment to be covered.

Questions you should ask your doctor before getting an Iovera treatment

Before getting an Iovera treatment, you should ask your doctor the following questions:
  1. What are the potential risks associated with the procedure?
  2. How long will the effects of the treatment last?
  3. Is this a covered service under my Medicare plan?
  4. Are there any other treatments that may be more appropriate for my condition?
  5. What are the possible side effects of the treatment?
  6. How long is the recovery period after a session of Iovera Treatment?
  7. Are there any lifestyle changes I should make to ensure the best results?
  8. Does your practice accept assignment from Medicare?
By asking these questions, you can help ensure that the Iovera treatment is right for you and your condition.

Conclusion

If you are a knee replacement recipient and think this might be the right choice for you, make sure to speak with your doctor about it. They can assess your condition, determine whether or not the treatment is medically necessary, and help you find out if Medicare covers it. This content is for informational purposes only. Don't hesitate to reach out to

Fair Square

for any questions you have regarding Medicare.

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Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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