How do I pay for a prescribed prosthesis (limb) or an orthosis (brace)?
A. The first thing is to check to see if you are covered under some type of Private Health Insurance Plan such as through an employer. Insurance coverage alone does not guarantee that a prosthesis or orthosis will be covered under the plan. Plans vary in their procedures, need for prior authorization, and extent of coverage. We can check your insurance plan for you to determine their requirements as well as what they will and will not cover. Often, even when a device is considered a covered item, you may be responsible for paying annual deductibles and co-pays out of your own pocket. Most policies have an annual maximum out-of-pocket, after which they will pay all bills in full. Again, we can help you to check with the insurer to see what, if any, deductibles or co-pays exist. It is important in all cases to keep the Explanation of Benefits (EOB) to know when you meet the deductible. If you have Medicare Part B, they will pay for a portion of your prosthetic and orthotic devices. Gener
