| 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. |