Billing & Insurance

Most, but not all, of the orthotic and prosthetic services we provide are covered by health insurance, including Medicare Part B, but the amount of coverage available varies based on your specific insurance.

In most cases, some percentage of patient responsibility is required to be paid out-of-pocket by the patient at the time the orthosis or prosthesis is delivered–the amount depends on your insurance and the device you are receiving. Insurance plans may have benefit maximums, and only cover up to a certain amount for a specific service.

We are in-network with most insurance providers, helping you get the highest coverage possible under your plan. If we are not in-network with your provider, we are still happy to provide orthotic or prosthetic services, but you may be responsible for a larger percentage of the cost, subject to the out-of-network rate set by your insurance plan.

Once you provide us with your insurance information, our office staff will verify your benefits with your insurance carrier to determine the amount of coverage available for your orthotic or prosthetic services. If needed, our staff will also obtain prior authorization from your insurance company. Our office staff will then provide you with an estimate of your portion of the costs prior to your orthotic and prosthetic service being provided. Please note–a prescription is required for most services, unless you are a cash-pay patient.

* As part of our commitment of service to you, we will make every attempt to verify your insurance benefits at the time your services are rendered. However, insurance verification or authorization is not a guarantee of insurance payment. This only allows our office to provide you with a preliminary estimate of any money due by the insured on or before the time of delivery of the device. Your patient portion is subject to change based on final claim determination by your insurance carrier.