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Does Medicare Cover Rheumatoid Arthritis? - Trusted Senior Specialists

03/25/2023 | 05:00 AM | 7 Min Read
Does Medicare Cover Rheumatoid Arthritis? - Trusted Senior Specialists

Rheumatoid arthritis (RA) is a chronic autoimmune disease that affects the joints, causing pain, stiffness, and swelling. If you have RA and are enrolled in Medicare, you may be wondering how Medicare covers your condition. In this blog post, we’ll explain how Medicare covers rheumatoid arthritis.

First, let’s discuss what types of Medicare coverage are available for RA. Medicare Part B covers medically necessary services and supplies, including doctor visits, lab tests, and durable medical equipment (DME). Medicare Part D covers prescription drugs, including medications used to treat RA. Medicare Advantage plans, also known as Medicare Part C, provide an alternative to Original Medicare and may offer additional benefits, such as prescription drug coverage and preventive services.

Now, let’s talk about what specific treatments for RA are covered by Medicare. Here are some examples:

-Prescription drugs: Medicare Part D covers prescription drugs used to treat RA, such as nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologic response modifiers (biologics).

-Physical therapy: Medicare Part B covers medically necessary physical therapy services for RA, such as exercise programs and assistive devices.

-Occupational therapy: Medicare Part B also covers occupational therapy services for RA, such as training in activities of daily living.

-Joint injections: Medicare Part B covers joint injections for RA, such as injections of corticosteroids.

-Durable medical equipment (DME): Medicare Part B covers DME that is medically necessary for RA, such as splints, braces, and walkers.

It’s important to note that Medicare coverage for RA may vary depending on the type of Medicare plan you have, the specific treatment you need, and your individual health needs. To find out what specific RA treatments are covered by your Medicare plan, you can review your plan’s coverage documents or contact your plan directly.

In conclusion, Medicare covers a range of treatments for rheumatoid arthritis, including prescription drugs, physical therapy, occupational therapy, joint injections, and durable medical equipment. If you’re enrolled in Medicare and have RA, it’s important to understand your coverage options and work with your healthcare provider to determine the best treatment plan for your individual needs.

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