This page is intended to help our Clients and Health Care Providers understand what is required to submit a claim to an extended health plan for Custom Foot Orthotics. Items required for extended medical plan reimbursement are: 1. Referral from your family doctor: The referral requires a diagnosis and a treatment: Diagnosis Examples of Diagnosis include: Plantar Fasciitis Subtalar Joint Dysfunction Metatarsalgia Achilles Tendonitis Bunions Osteoarthritis Over Pronation Not considered a diagnosis: Flat Feet High Arches Foot Pain Knee Pain Treament Custom casted orthotics required. 2. A Biomechanical Assessment 3. A letter from your Pedorthist Stating: Referring professional, diagnosis, casting techniques, assessment and dispensing dates, materials used in production, where they are manufactured and Pedorthists credentials. 4. Invoice showing that orthotics are paid for in Full. The above items labeled 2-3 are provided at the orthotic fitting to all our clients. It is the responsibility of our clients to obtain a referral from their Family Doctor. We require a copy of your referral before we can distribute your orthotics as per the College of Pedorthics. Note: some extended health plans require a new referral for each additional pair of orthotics provided. Note: it is recommended to check with your plan to find out information such as coverage amount and eligibility frequency.
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