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Does Medicare Cover Custom Orthotics? A Simple Explanation

Struggling with foot discomfort as a Medicare recipient? Uncover the steps to get custom orthotics coverage and learn how Upstep can pave your path to relief.

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By Babafemi Adebajo
Davor Štefanović - Editor for Upstep
Edited by Davor Štefanović

Published June 21, 2023.

Are you a Medicare recipient grappling with foot discomfort? Custom-fitted orthotics might be your path to relief. These specialized shoe inserts can significantly alleviate foot and gait problems, offering a new lease on comfort and mobility. Let's dive into how Medicare might make this journey more affordable for you.

How to Get Medicare Coverage for Orthotics

Under Medicare Part B, which primarily covers outpatient services like doctor's visits and preventive screenings, you might find a benefit that's particularly relevant to your foot health: the durable medical equipment (DME) benefit. This is where custom orthotics come into play.

If a qualified medical practitioner prescribes custom orthotics for a medical condition covered under your Medicare Part B plan, you could be in luck. Here's a step-by-step guide to securing your Medicare coverage for orthotics:

  • Obtain a prescription: Schedule a visit with your healthcare provider. They can assess your condition and, if necessary, prescribe custom orthotics to help you.
  • Verify eligibility: Not all medical conditions are covered, so make sure to check with your healthcare provider and insurance plan to understand the specific requirements for coverage.
  • Choose a Medicare-enrolled supplier: Pick a supplier enrolled in Medicare and accepting Medicare assignments, like Upstep. This way, you can fully benefit from your Medicare coverage.

Experience the Benefits of Upstep's Custom Orthotics

If you're on the lookout for a reliable supplier that's covered by Medicare, Upstep's custom orthotics might be a game-changer for you. They're expertly designed to help correct walking imbalances—basically, they help improve how you walk. This can lead to improved support, pain relief, better balance and stability, and even injury prevention.

Navigating the Medicare maze doesn't have to be a daunting task, especially when it comes to securing comfort for your feet. With custom orthotics and Medicare's potential coverage, you can stride toward a future of enhanced mobility and a more active life. Why not take that first step with Upstep today?

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