Are Orthotics FSA Eligible?
Orthotics are FSA eligible as long as certain criteria that have to be met for medical equipment and you file for reimbursement.
Dr. Zac Cartun, MD
Doctor of MedicineInsurance
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Are Orthotics Covered by Blue Cross Blue Shield Insurance?
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 -
How to Get Orthotics Covered by Medicare for Seniors
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 -
Does Medicare Cover Custom Orthotics
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 -
Does Medicare Cover Orthotics For Plantar Fasciitis
Medicare will only cover the payment for orthotics for plantar fasciitis if it is associated with another medical condition like diabetes or a severe deformity
Dr. Zac Cartun, MD
Doctor of Medicine -
Does Insurance Cover orthotics?
Depends on the type of orthotics, medical necessity, and condition the orthotics are meant to treat, correct, or prevent progressive deformation
Dr. Zac Cartun, MD
Doctor of Medicine -
Will Medicare Pay for Orthotics?
Medicare has strict requirements for orthotic coverage. However, if a patient meets those requirements, Medicare will cover 80% of the cost of obtaining the orthotic device
Dr. Zac Cartun, MD
Doctor of Medicine -
How to Get Orthotics Covered by Medicare
To get orthotics covered by Medicare, a patient must first understand Medicare’s policy with orthotics and how to obtain and submit a claim properly.
Dr. Zac Cartun, MD
Doctor of Medicine
Many 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.