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Does Medicaid Cover Custom Orthotics? A Simple Explanation

Struggling with foot pain and the costs of custom orthotics? Discover how Medicaid may help, and find your path to relief with our comprehensive guide.

a man in a white shirt and blue and pink suspenders
By Babafemi Adebajo
Davor Štefanović - Editor for Upstep
Edited by Davor Štefanović

Published June 21, 2023.

Experiencing persistent foot pain? You're not alone. Millions of Americans are dealing with foot-related issues that hinder their mobility, and custom orthotics can offer a life-changing solution. However, the cost—ranging from $300 to $800—can be quite a hurdle. Fortunately, Medicaid, a joint federal and state program that helps with medical costs for some people with limited income and resources, might be your golden ticket.

How to Get Insurance Coverage for Custom Orthotics

Navigating Medicaid's coverage for custom orthotics can be challenging. After all, Medicaid's benefits aren't uniform across all states; some cover orthotic devices as an optional benefit, while others do not. Even those that do might require you to shoulder a portion of the cost, either as a flat fee or a percentage.

However, don't let this deter you. There's a path to getting coverage for custom orthotics with Medicaid, and we're here to guide you through it.

  • Verify your Medicaid eligibility and benefits: Start by understanding the ins and outs of your coverage. Contact your local Medicaid agency or visit their website for this information. You can also review the Summary of Benefits and Coverage (SBC) document, which lays out the details of your plan's features and costs.
  • Secure a diagnosis and a prescription for custom orthotics from a healthcare professional: Typically, your healthcare provider needs to prove that the orthotics are medically necessary. Ensure you have a diagnosis and prescription ready.
  • Choose a supplier that accepts Medicaid: Not all orthotics providers accept Medicaid, so it's crucial to find one that does.
  • Keep track of your orthotics-related receipts and documentation: In case you need to make a claim later, a well-documented paper trail will be your best friend.

» Learn how to ensure your orthotics are covered by insurance

Get Upstep Orthotics with Medicaid

If you're exploring options for high-quality, affordable custom orthotics covered by Medicaid, the Upstep Normal Everyday Activity Custom Orthotics might catch your attention. These inserts, designed by expert podiatrists, are created with the goal of correcting potential gait imbalances, which is just a fancy way of saying they help improve how you walk. They work to alleviate pressure, reduce pain, and improve both your posture and overall foot mechanics.

Normal Everyday Activity Orthotics

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