Does Medicare Cover Zilretta?
By Daniel Petkevich
Nov 28, 2022
You've got coverage
No one should have to endure the pain of arthritis without appropriate treatment. For many Medicare beneficiaries, Zilretta is the best option to deal with the knee pain that comes with Osteoarthritis. Good news, Medicare offers coverage. But how are you covered? Let's find out.
Speak with a Medicare Advocate
What is Osteoarthritis?
Osteoarthritis (OA) is the most common form of arthritis, affecting millions of people worldwide. It’s a degenerative joint disease that causes cartilage to thin and bones to rub together. Symptoms of OA can include the following:
Joint stiffness
Swelling
Pain
Decreased range of motion.
OA usually affects people over age 50, but it can occur at any age.
What is Zilretta and what are its benefits?
Zilretta (triamcinolone acetonide extended-release injectable suspension) is an FDA-approved nonsteroidal anti-inflammatory drug (NSAID) used to treat knee osteoarthritis pain. It works by slowly releasing the medicine into your joint, providing sustained pain relief for up to 12 weeks. Zilretta can be used as part of your OA treatment plan to reduce the need for opioid medications.
Does Medicare cover Zilretta?
Medicare Part B covers Zilretta when medically necessary and prescribed by a doctor. A doctor’s prescription is necessary because it must be administered by a qualified healthcare professional via injection. Medicare will cover 80 percent of the cost after you meet your Part B deductible. If you have a Medicare Supplement Plan
How to get Zilretta if you're covered by Medicare?
If you are covered by Medicare and have a prescription for Zilretta, you can get the medication from your pharmacy. Your doctor will need to provide your pharmacy with the information necessary to submit a claim to Medicare. Once approved, you may be asked to pay any applicable copays, coinsurance, or deductibles at the time of purchase. Your pharmacy may also offer payment plans to make it easier for you to get the medication you need.
It’s important to talk to your doctor and insurance provider about coverage and costs before starting any treatment plan. They can help you understand which treatments are covered by Medicare and if there are other options that might be right for you.
Takeaway
Medicare Part B covers Zilretta when prescribed by a doctor and medically necessary. Talk to your doctor and insurance provider about coverage and costs before starting any treatment plan. This content is for informational purposes only. If you have any questions about your Medicare plan, talk with an expert at Fair Square Medicare
Recommended Articles
What is the Medicare ICEP?
Apr 7, 2023
Can Doctors Choose Not to Accept Medicare?
Dec 8, 2022
Is Balloon Sinuplasty Covered by Medicare?
Dec 1, 2022
How Much Does Rexulti Cost with Medicare?
Jan 24, 2023
Does Medicare Cover Bariatric Surgery?
Dec 27, 2022
Should You Work With A Remote Medicare Agent?
Sep 20, 2023
Gap Health Insurance: The Secret Sidekick to Your High-Deductible Plan
Jul 14, 2025
How to Apply for Medicare?
Jul 15, 2022
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
Medicare Deductibles Resetting in 2025
Jan 18, 2024
Does Medicare Cover Tymlos?
Dec 5, 2022
Medicare Advantage Plans for Disabled People Under 65
Mar 24, 2023
Does Medicare Cover Iovera Treatment?
Jan 11, 2023
How to Enroll in Social Security
Apr 28, 2023
How Do I Sign up for Medicare? A Simple How-To Guide For You
Apr 8, 2022
How is Medicare Changing in 2025?
Dec 21, 2022
Does Medicare Cover Stair Lifts?
Nov 18, 2022
Do Medicare Supplement Plans Cover Dental and Vision?
Dec 8, 2022
More of our articles
10 Top Medicare Supplement (Medigap) Companies for 2025
14 Best Ways for Seniors to Stay Active in Seattle
14 Best Ways to Stay Active in Charlotte
Can I Choose Marketplace Coverage Instead of Medicare?
Can I Laminate My Medicare Card?
Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?
Costco Pharmacy Partners with Fair Square
Do I Need to Renew My Medicare?
Does Medicare Cover Abortion Services?
Does Medicare Cover Breast Implant Removal?
Does Medicare Cover Cala Trio?
Does Medicare Cover Cardiac Ablation?
Does Medicare Cover Cataract Surgery?
Does Medicare Cover Chiropractic Visits?
Does Medicare Cover Cold Laser Therapy (CLT)?
Does Medicare Cover Compounded Medications?
Does Medicare Cover COVID Tests?
Does Medicare Cover Fosamax?
Does Medicare Cover Geri Chairs?
Does Medicare Cover Hepatitis C Treatment?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Ilumya?
Does Medicare Cover Incontinence Supplies?
Does Medicare Cover Ketamine Infusion for Depression?
Does Medicare Cover Macular Degeneration?
Does Medicare Cover Mouth Guards for Sleep Apnea?
Does Medicare Cover Ozempic?
Does Medicare Cover PTNS?
Does Medicare Cover RSV Vaccines?
Does Medicare Cover Scleral Lenses?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover TENS Units?
Does Medicare Cover the Urolift Procedure?
Does Medicare Cover the WATCHMAN Procedure?
Does Medicare Cover Urodynamic Testing?
Does Medicare Cover Vitamins?
Does Medicare Cover Xiafaxan?
Does Medicare Pay for Antivenom?
Does Your Medicare Plan Cover B12 Shots?
Estimating Prescription Drug Costs
Explaining IRMAA on Medicare
Fair Square Bulletin: We're Revolutionizing Medicare
Fair Square Client Newsletter: AEP Edition
Health Savings Accounts (HSAs) and Medicare
How Can I Get a Replacement Medicare Card?
How Do Medicare Agents Get Paid?
How Does Medicare Cover Colonoscopies?
How Does Medicare Pay for Emergency Room Visits?
How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?
How Medicare Costs Can Pile Up
How Your Employer Insurance and Medicare Work Together
Is Displacement Affecting Your Medicare Coverage?
Is Fair Square Medicare Legitimate?
Is HIFU Covered by Medicare?
Is PAE Covered by Medicare?
Is Vitrectomy Surgery Covered by Medicare?
Last Day to Change Your Medicare Part D Plan
Medicare & Ozempic
Medicare 101
Moving? Here’s What Happens to Your Medicare Coverage
Plan G vs. Plan N
What Are Medicare Part B Excess Charges?
What Is a Medicare Advantage POS Plan?
What is a Medicare Beneficiary Ombudsman?
What is Plan J?
What is the 8-Minute Rule on Medicare?
What to Do When Your Doctor Doesn't Take Medicare
What to Do When Your Doctor Leaves Your Network
What's the Difference Between HMO and PPO Plans?
When Can You Change Medicare Supplement Plans?
Why You Should Keep Your Medigap Plan
Will Medicare Cover Dental Implants?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M
Fair Square Medicare
