These data reflect the most commonly purchased benefits package for each of the health plans in
the year 2000. Coventry/Principal would not supply updated information.

HMO Orthotic Devices
Aetna US Healthcare Covers: Orthopedic braces, with shoes when necessary, used to treat congenital defects.

Excludes: Corrective shoes.

Blue Cross Blue Shield Covers: Rigid or semi-rigid supportive device that restricts or eliminates motion of a weak or diseased body part.

Limits: Limited to a $250 lifetime maximum for foot orthotics.

Cost Sharing: Coinsurance applies.

CIGNA / Healthsource Covers: Orthotic devices, if medically necessary, and requested by a medical doctor.

Excludes: Orthotic devices to treat fallen arches.

Doctors Health Plan Excluded.
Generations Excluded.
Optimum Choice Excludes: Orthotic devices and shoes.
PARTNERS Covers: Orthotic shoe inserts prescribed by a participating podiatrist or orthopedic surgeon to treat a specific medical condition that must be worn during all daily activities and authorized in advance by plan. Includes one pair of inserts at time of initial purchase, and replacement pair once every 12 months.

Limits: Maximum benefit payable per pair of orthotics is $250. After initial purchase, coverage is provided ($250) for one replacement pair every 12 months.

Coventry/Principal Health Care of the Carolinas Excluded.
QualChoice Covers: One molded shoe or prosthesis per foot per benefit year.

Limits: Orthotics must be ordered by a physician and provided by a participating provider or supplier. Qual Choice will determine whether the equipment will be rented or purchased.

Cost Sharing: Cost Sharing may apply. The maximum payment is the purchase price of the equipment.

Excludes: Orthotics used solely to participate in sports.

The Wellness Plan of North Carolina, Inc. Covers: Orthotic devices, if medically necessary and appropriate.

Excludes: Orthotics for routine foot care.

United HealthCare Covers: Orthotic Devices covered (under the DME and Prosthetics benefits).
WellPath Excludes: Orthopedic shoes and other supportive device for the feet.

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