Does insurance cover stem cell therapy?

A common question we are asked as regenerative medicine providers is whether or not insurance will cover the costs of stem cell and PRP injections. The short answer to the question is probably no.

Does insurance cover stem cell therapy?

A common question we are asked as regenerative medicine providers is whether or not insurance will cover the costs of stem cell and PRP injections. The short answer to the question is probably no. Insurance providers consider these orthobiological treatments to be “experimental” or “speculative.” As of October 2024, routine insurance usually doesn't cover stem cell therapies. Some self-directed private insurance companies, some workers' compensation companies, and the armed forces (elite military units) cover bone marrow aspiration (BMAC) stem cell concentration procedures.

Medicare covers part of the costs of two types of FDA-approved transplants or stem cell therapies. The coverage applies to transplants, whether they are performed by doctors as inpatient or outpatient procedures. Unfortunately, even though stem cell treatment is highly effective, insurance companies still consider stem cell therapy to be “experimental and in phase” of research”. Therefore, at this time, insurance companies will not cover the cost of stem cell treatment. When a patient has a medical condition, one of the most common concerns is the potential average cost of treating the condition.

Stem cell therapy has come a long way in recent years and offers relief to people suffering from shoulder arthritis, rotator cuff tears and other joint-related injuries without the risks of surgery. However, stem cell therapy is still an experimental medical procedure, so health insurance companies they won't cover it. However, insurance policies vary and some plans may offer partial coverage for regenerative treatments if considered medically necessary. At Stem Cell of NJ, we recommend that patients consult with their insurance provider to determine if any aspect of the therapy is covered.

In addition, we can provide you with detailed information and documentation about the therapy to help you with the claims process. Recent clinical trials and research on stem cell therapy have yielded promising results: many patients undergoing stem cell therapy report significant improvement, including a decrease in their symptoms. Medicare doesn't cover stem cell therapy for degenerative diseases such as multiple sclerosis and Parkinson's. Over time, insurance companies won't be able to ignore that living cell therapy with living cells is a safe, low-risk, non-surgical alternative to surgery, which doesn't require lengthy and costly hospitalization. Stem cell therapy can even improve some painful conditions that may not qualify for surgery, but that may require long-term medication or physical therapy to control pain.

Modern stem cell therapy providers offer their patients individualized consultations and diverse funding options so they can enjoy relief without a huge initial investment. In allo-SCT, a healthcare professional delivers healthy stem cells from a donor to a person through an intravenous infusion through the veins. Stem Cell of NJ, a leader in regenerative medicine, is dedicated to providing advanced solutions that can help restore mobility and improve quality of life. DVC Stem services strictly comply with regulatory cGMP quality standards, in addition to complying with globally recognized ISO standards, which guarantee the safety, purity of the air and the processing of infusions containing human stem cells.

Eddie The Beast Hall received an infusion of more than 300 million mesenchymal stem cells derived from umbilical cord tissue at DVC Stem. If you are interested in stem cell therapy for a shoulder injury, consult with an experienced provider about your eligibility and the potential cost of your stem cell treatment. One of the most common questions patients ask is whether their insurance will cover stem cell therapy. If you are interested in exploring regenerative cell therapy and how it can improve your health, contact Stem Cell of NJ today at (73) 264-2233 to schedule a consultation.

If you are interested in stem cell therapy but are concerned that you are not eligible for coverage under your current health insurance plan, don't worry.