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Are all orthotics covered by medical insurance?

Asked 2 years ago

Hello everyone, I need to get orthotics, and while I would prefer to get custom-made, I'm not sure whether my medical insurance would cover them? If they're not, then I guess I'll have to go for those you get over-the-counter.

Abel Austin

Friday, June 03, 2022

It is largely determined by the country in which you are residing as well as the sort of insurance you have obtained. OTC orthotics are usually covered by insurance because they are medically essential and prescribed by a doctor. For short-term use, over-the-counter orthotics are considered medically required. Customized orthotics, on the other hand, are not covered by insurance, even if they are for a long period, insurance sometimes cover the 10 to 50% of the cost.

Sylvester Henson

Monday, June 06, 2022

Custom orthotics are the best for many conditions. Unfortunately, not many insurance companies cover the cost of making them, so you may need to check in with your insurance provider first. However, if you are under the FSA or HSA, you will get reimbursed after purchasing Upstep orthotics.

Aimee Valencia

Thursday, January 18, 2024

Many health benefit plans cover orthotics, offering partial or full reimbursement for custom orthotics prescribed by a doctor. Coverage depends on the plan, but typically, orthotics are covered if medically necessary and made from approved materials. You can get reimbursement for orthotics expenses through both FSA and HRA by simply providing the purchase receipt upon request.

Keep in mind that the coverage for custom orthotics may vary depending on the insurance plan and the medical condition. It's important to check with the insurance provider to understand their specific coverage and reimbursement options.

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