Will my insurance cover custom orthotics?

Custom foot orthotics will be covered by most insurance plans.

There are stipulations for obtaining coverage.

Have you met your deductible?

Some patients have a very high deductible. Let's just say your deductible is $900. Before the insurance will cover one single penny you must first pay out of pocket that $900.

On top of that there are rules about how much they will cover...100%, 80%, 50%?

Some will say you can have orthotics only if you are diabetic.

Some will say you can have orthotics for specific diagnosis. Each diagnosis has a ICD-9 Code
-Plantar Fasciits (728.79)
-Bunion (735.0)
-Hallux Limitus/Rigidus (735.2)
-Metatarsalgia (726.70)
-Norma (355.6)
-Illiotibial Band Syndrome (728.89)
-Knee Pain  (719.46)

How many pairs of orthotics can you have?
Most insurance companies will allow only one pair of orthotic. Sometimes you can get a new pair every year or every 2-3 years.

Best way to find out is call your insurance company. Get the name of the person you talk to along with a reference number. 

Ask them about custom orthotic coverage.

To have custom orthotics made here in Orange County please contact Dr. Gennady Kolodenker.
(949) 651-1202