Orthotics are for more than just your feet, in fact, orthopedic bracing can be used to comfort or support nearly any part of your body. Orthopedic bracing, by definition, is the use of a device to correct or prevent damage, pain, or functional loss in certain moveable areas of the body.
At OrthoPro, we specialize in creating custom orthopedic braces designed to give our patients accelerated healing, exceptional support, and a revived sense of confidence when using the affected area.
We provide orthopedic bracing for the following conditions:
To best help our patients, we offer custom-made and custom-fit orthopedic bracing.
Custom-Made Orthotics: In our Twin Falls office, we have a unique lab designed to help us build and modify orthoses. Our team is trained to gather exact details from the patient to create a top-of-the-line device designed to offer superior support.
Custom-Fit Orthotics: These are pre-made by manufacturers and sent to our office. Though pre-made, by using our in-office lab, we can make immediate modifications to ensure our patient leaves feeling the relief and support they deserve.
OrthoPro wants to make your experience being fitted with an orthotic device as easy and painless as possible. We are dedicated to you, our patients, and strive to provide the superior patient care that you deserve. Most orthopedic bracing is covered by insurance but there are some exceptions and limitations.
Insurance companies usually limit how often someone can get a new brace. For example, Medicare and most insurance companies limit replacement ankle bracing to one brace every five years. This is typical, even when the new brace is a completely different design from the first. An exception to this rule is when you experience a significant anatomical change, or if the first brace is broken in an accident, such as a car wreck.
Unfortunately, it's normal for insurance companies to deny claims for all replacement bracing - even when the two braces serve very different purposes.
Here are a few examples of when it might be necessary to get a second brace within five years:
During the appeals process, we must submit proof of a medical necessity for the second brace. This process can take several months to years. The denials often continue even with strong evidence of necessity.
At your first appointment, we will ask you about your brace history. It's important that we know about any bracing you have received, regardless of what type of bracing it was.
If you received any brace of any design for the body part we are treating, we will discuss this with you in detail. Additionally, we will:
If your doctor does not include enough details in their notes to address the need for replacement, we will contact your doctor for more information. You may need to schedule an additional appointment with your doctor to ensure the required notes are completed correctly.
Most doctors are not aware that temporary bracing solutions like healing boots count towards your 5-year bracing allowance. Although we are doing our best to educate the medical community about this issue, it's important for you to also educate your medical team. Prescribing professionals should:
You can also contact Medicare directly at 1-800-MEDICARE to voice your concerns.