Are Custom Foot Orthotics Covered by Insurance in Calgary?
If you’re considering custom foot orthotics in Calgary, one of the most common questions is whether they are covered by extended health insurance.
Coverage varies by provider and policy. The most reliable way to confirm your benefits is to contact your insurance company directly and ask the questions below.
Questions to Ask Your Insurance Provider About Custom Foot Orthotics
What Insurance Companies Typically Ask About Custom Foot Orthotics
1. How much coverage do I have for custom foot orthotics?
Depending on your plan, coverage may range from $200 to $500 or more.
Some policies may even allow coverage for more than one pair within a benefit period. This is why it’s important to confirm your specific coverage directly with your insurer.
2. Who is allowed to prescribe custom foot orthotics?
Insurance providers may accept prescriptions from:
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Medical Doctors
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Podiatrists
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Chiropractors
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Pedorthists
Requirements vary by insurer. Some plans allow chiropractors in Calgary to both assess and prescribe custom orthotics, while others require a medical doctor or podiatrist.
3. Who is allowed to dispense custom foot orthotics?
Depending on your policy, orthotics may need to be dispensed by:
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Chiropractors
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Medical Doctors
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Podiatrists
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Pedorthists
If your insurance plan requires dispensing by a provider outside of a chiropractic clinic, you may need to use a different provider for insurance reimbursement.
If you are not using insurance, you are still welcome to receive custom orthotics here.
4. Is my coverage available right now?
Ask your insurer:
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When your benefit year resets
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Whether coverage is available now or later in the year
Some plans reset annually, while others operate on a two-year cycle.
5. Will my insurance require proof of how the orthotics were made?
Many insurance companies require documentation outlining how custom orthotics are manufactured.
Your orthotics provider can supply a Proof of Manufacturing form, which includes:
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Laboratory name and address
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Provider name and address
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Patient name
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Materials used
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Casting or scanning technique
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Shipping and fabrication details
Documentation required by most Canadian insurance providers is supplied to support your claim.
Still Unsure About Your Coverage?
If you have questions about custom foot orthotics or the assessment process in Calgary, feel free to call 403-455-9693 or book an appointment online.