Orthopedic Shoes / Custom Orthotics

Orthopedic shoes and custom orthotics are specialized footwear and inserts designed to support proper alignment, relieve pain, and improve mobility for individuals with foot, leg, or posture-related conditions. These items are often prescribed to correct biomechanical issues, provide additional cushioning, or accommodate deformities caused by medical conditions such as arthritis, diabetes, or plantar fasciitis.

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Most health insurance plans classify orthopedic shoes and orthotics as eligible medical equipment or supplies under extended health benefits. Coverage usually includes a set dollar maximum per year or every two benefit years and typically requires a prescription from a physician, podiatrist, or chiropodist. The policy may also specify that orthotics must be custom-made from a three-dimensional cast or scan of the foot to qualify for reimbursement.

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Proper footwear and orthotics can significantly improve comfort and prevent secondary injuries by providing individualized support and promoting better body mechanics.

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Example:

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If your plan covers 80 percent of eligible expenses up to $400 every two years and your custom orthotics cost $500, your insurer reimburses $400 and you pay $100.

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What to Watch For:

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Ensure that your provider is recognized by your insurer and that the devices are custom-made rather than off-the-shelf. Some plans require itemized receipts, proof of casting, and pre-authorization. Replacement frequency limits and maximums may differ between orthotics and orthopedic shoes.