When Your Patient Needs Orthotics and Has No Insurance Coverage

Everyone hopes that insurance reimbursement is available for functional orthotics, but the harsh truth is that very few policies cover them. And when they do, there are very specific rules, conditions, and circumstances that apply when seeking coverage. All patients’ coverage should be verified, and some will have coverage for functional orthotics. However, if they do not, it’s still OK to sell orthotics for cash.  

This training module is meant to offer suggestions for making functional orthotics available to those without coverage. Due to the No Surprises Act as of January 2022, important documentation must be completed, along with cost estimates, for those who are insured, but not using the insurance or those without coverage for functional orthotics. This training module walks providers and teams through all the necessary steps to properly manage functional orthotics as a cash product in the practice.

NOTE: Even if you are not a KMC University member, you have access to this training courtesy of Foot Levelers. If you have questions while training in this module, email info@kmcuniversity.com.