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

Custom Orthotics made in Orange County

As a Podiatrist in Irvine CA I frequently make custom orthotics.

Orthotics can be very soft or very rigid. Casting of the foot is crucial and plaster is the best material. 

The degree of angulation that is changed is very small but the results are tremendous.

Most insurance plans cover the cost of a custom orthotics.  It is best to contact your insurance for details.

Feel free to make an appointment for casting of custom orthotics in Orange County

Dr.Kolodenker