Insurance
Reimbursement
Insurance Reimbursement
Our team is always here to help!
Ultimately, your insurance provider will have the definitive answers about your coverage and how to place a claim.
Common Insurance Documents
Many of our customers have successfully submitted claims for Custom Orthotics with their Extended Health Benefits and/or using their Health Spending Accounts (HSA).
Below is a list of the documentation that can be required by some insurance providers.
| Orthotics Direct | Traditional Provider | |
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Custom Made Orthotics Manufactured from 3D positive volumetric casts. |
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Invoice/Receipt Created the date your order ships. |
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Proof of Manufacture Indicates the casting technique and the materials used to fabricate your orthotics. |
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Biomechanical Report A quantified report taken from the evaluation of your cast and formatted into a report. |
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Gait Analysis As an online provider, Orthotics Direct does not provide a Gait Analysis. |
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Prescription/Dispensing/Credentials Being an online shopping experience, Orthotics Direct does not provide in-person evaluations. *Please Note: Most plans require a prescription from a physician prior to placing your order* |
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Cost of Orthotics |
$249.99 |
$500-$700 |
Custom Made Orthotics
Manufactured from 3D positive volumetric casts.
| Orthotic Direct | Traditional Provider |
|
|
|
Invoice/Receipt
Created the date your order ships.
| Orthotic Direct | Traditional Provider |
|
|
|
Proof of Manufacture
Indicates the casting technique and the materials used to fabricate your orthotics.
| Orthotic Direct | Traditional Provider |
|
|
|
Biomechanical Report
A quantified report taken from the evaluation of your cast and formatted into a report.
| Orthotic Direct | Traditional Provider |
|
|
|
Gait Analysis
As an online provider, Orthotics Direct does not provide a Gait Analysis.
| Orthotic Direct | Traditional Provider |
|
|
|
Prescription/Dispensing/Credentials
Being an online shopping experience, Orthotics Direct does not provide in-person evaluations.
*Please Note: Most plans require a prescription from a physician prior to placing your order*
| Orthotic Direct | Traditional Provider |
|
|
|
Cost of Orthotics
| Orthotic Direct | Traditional Provider |
|
$249.99 |
$500 - $700 |
Predetermination Request:
If you wish to contact your Insurance provider prior to placing your order to determine if your orthotic purchase is eligible for coverage, please complete the form below and we will forward you a Sample Receipt, as well as a Sample Proof of Manufacture & Biomechanical Report. These documents can be sent to your Third Party Provider for Predetermination eligibility.
Please note: Your provider may simply send you details regarding your plan's eligibility, which does not necessarily mean that Orthotics Direct will meet all of their requirements. Please cross reference your plan's needs, with the services that Orthotics Direct provides.
We offer Predetermination forms for orthotics only. If you wish to predetermine your eligibility for footwear coverage, we recommend that you contact your provider with the brand and style details of your footwear selection. Insurance policies differ from plan to plan and some even cover certain models of shoes differently.
Once you have submitted the Predetermination Request Form, you will receive the document within the hour.
(*) Indicates required field
Ordering For Multiple People:
We would like to ensure that you have the best possible experience with Orthotics Direct and the subsequent submittal for reimbursement.
If you are ordering for yourself, as well as for another individual and are seeking reimbursement, we would recommend that the orders be placed separately. Each order will then receive its own separate Invoice and related documentation, which is often a requirement of insurance coverage.
If you place a single order for multiple claimants, all documentation will be in the name of the person who placed the order. Please be aware, you may then encounter problems when you submit to Insurance. It is always recommended that you contact your insurance company for details specific to your plan.
Please ensure that all names are submitted correctly as documentation cannot be changed after the order has been placed.
Insurance Documentation:
All of the documentation that Orthotics Direct provides, such as your receipt, Proof of Manufacture, and Biomechanical Report, are available after your completed order ships.
Once your order is complete, you will receive a physical copy of the documentation upon the delivery of your order.
In addition, the documentation will be made available for download on our website. To download, please log into your account and select the corresponding order number.
To help easily navigate our website to find your insurance documentation, please download our PDF instructions below.