Orthopedic & Orthotics

Orthoses ~ off the shelf

An orthotic is a device used for supporting or treating injured or weakened muscles, joints and bones.

While orthotics are often associated with shoe inserts, there are several types to treat a variety of ailments.

Medicare Coverage of Braces and Supports

Braces and supports are used to correct injuries, help stability and ease pain. They decrease the chance of additional injury and can also be used to help deformities.

Braces may be used as an alternative to surgery for some injury cases. There are some potential downsides to using braces, as they can result in loss of muscle function over time.

Common Types of Braces Covered by Medicare

Arm braces
Leg braces
Neck braces
Back braces

Medicare Guidelines for Orthotics Reimbursement

Braces must be deemed medically necessary by a health care professional. If they are, then Medicare will cover 80 percent of the cost.

These types of braces and supports are also part of the DMEPOS Competitive Bidding Program. If you live in a competitive bidding area, you will need to make sure you are using a contract supplier in order for Medicare to help pay for an off-the-shelf back or knee brace.

Need Supplies?, Have a Prescription?

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919-874-5123

CREDIT: Simmons, Christian. “Does Medicare Cover Orthotics?” RetireGuide.com, 21 Apr 2022, https://www.retireguide.com/medicare/services/durable-medical-equipment/orthotics/.