So, I’ve been dealing with some foot pain for a while now and my doctor recommended I get orthotics. I remember a few years back, a friend of mine used them and they made a huge difference for him. But here’s the thing – he didn’t mention anything about whether his insurance covered the cost or not.
Has anyone here had experience with this? Did your insurance cover orthotics, or did you have to pay out of pocket? Any tips on how to navigate this with insurance companies would be super helpful…
Explaining is insurance covers Orthotics is not that easy because the coverage depends on various factors. But you can check the following guide explaining the whole thing at large.
You must review your plan contract; ask your HR Team for a copy if you don’t already have one.
Everything they cover and how they cover it will be spelled out in the contract. Examine the exclusions as well.
An appeal is unlikely to succeed if the plan specifies that something is not covered. Appeal the contract if it does say something is covered (and you complied with all the requirements—only one set in a 12-month period, prescription required, etc.) and you follow all the guidelines.
Hey there, Yes it covers with the following necessary to get your orthotics covered by insurance: A diagnosis from a podiatrist or foot care specialist. A prescription for a custom orthotic from a qualified professional. A description of the raw materials used to make the orthotics
