Are all orthotics covered by medical insurance?
Asked 3 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.
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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