To get orthotics covered by insurance, verify that your policy covers orthotics, get preauthorization where applicable, get proper documentation from your healthcare provider, use correct billing codes, get your device...
Dr. Zac Cartun, MD
Doctor of Medicine
The Department of Veterans Affairs (VA) uses a specific rating system under Diagnostic Code 5276 to decide how much compensation a veteran would get for flat feet/flat feet orthotics, or...
Dr. Zac Cartun, MD
Doctor of Medicine
When faced with the need for custom orthotics, people wonder if their health insurance will cover the expense. The short answer is yes! However, there are certain criteria that have to...
Dr. Zac Cartun, MD
Doctor of Medicine
When it comes to orthotics, BCBS will mostly provide coverage but the coverage offered will depend on the plan you are on.
Dr. Zac Cartun, MD
Doctor of Medicine
Orthotic devices help shift plantar pressure distribution to decrease the risk of diabetic foot ulcers in patients who have diabetic neuropathy
Dr. Zac Cartun, MD
Doctor of Medicine
Medicare plans offered to beneficiaries cover custom orthotics if they are prescribed for medical conditions and necessitated by a medical expert.
Dr. Zac Cartun, MD
Doctor of Medicine
Medicare will cover the payment for orthotics for plantar fasciitis if it is associated with another medical condition like a diabetes-related foot condition or a severe deformity. The orthotics must,...
Dr. Zac Cartun, MD
Doctor of Medicine
Yes, insurance can cover orthotics for flat feet. However, the possibility that your insurance will cover the cost of your orthotics depends on the plan and the type of orthotics,...
Dr. Zac Cartun, MD
Doctor of MedicineMany insurance plans offer some degree of coverage for custom orthotics when deemed medically necessary—but how much, certain requirements, and limitations vary between providers. Custom orthotics are sometimes classified as "Durable Medical Equipment" (DME) by insurance companies, however, coverage classification differs depending on the insurer. In some cases, they might be categorized as orthotics, prosthetics, or even podiatry services. It is important to review your policy requirements carefully to determine the correct classification, what percentage is covered, and whether prior authorization or a doctor's prescription is required. Some plans may require a letter of medical necessity from a podiatrist before approving a claim for orthotics.