Here to Help You Navigate Your Coverage
Reliant's insurance specialists are here to help you understand your coverage.
We recognize the challenge of not only ensuring you receive a prosthetic or orthotic device that suits your needs, but also finding one that your insurance plan covers.
Reliant Prosthetics accepts a wide range of insurance providers, including Aetna, United Healthcare, and many more. Please note: this list is not all-inclusive. Please contact our office if you do not see your insurance company listed.
For your ease, we encourage you to use our "Request an Appointment" form to ask questions regarding your insurance coverage. We would be happy to work with you and your insurance company to help you understand how your plan works. Please call us at 1-972-470-0300 to speak with one of our insurance specialists.
How Insurance Covers Works
Your insurance coverage, whether it is Medicare or private insurance can be a determining factor in the solution you ultimately receive. Both may pay for a large portion or sometimes even all costs associated with your prosthetic or orthopedic device needs.
It is important that you understand if you have private insurance, either through your employer or purchased as part of the Affordable Care Act (ACA), or if you are in a Government program including Medicare.
Medicare establishes overall guidelines and requirements that deem a device "medical necessity" based upon your condition. These guidelines determine the type and level of advanced prosthetics and orthotics they cover. Even if you are not on Medicare, generally, when Medicare covers, or denies something, private insurers follow suit.
Insurance companies categorize most orthotic and prosthetic devices as "Durable Medical Equipment (DME)". While most traditional insurance plans cover durable medical equipment as a standard benefit, some plans do not cover DME without a policy rider.
Most insurance policies categorize lower limb prostheses as medically necessary for performing your normal daily activities.
Many insurance carriers consider decorative covers, water resistant attachments allowing the prosthesis to be worn in the shower, or other devices including "water legs," for use when showering or swimming, a convenience item, and not medically necessary.
Certain orthopedic devices and braces may be covered because they are integral to your recovery after an orthopedic procedure or are considered medically necessary because their use is integral to the on-going treatment of an orthopedic disease or injury. We encourage you to reach out to your insurance company and get the details about your coverage. Our insurance specialists are here to help you understand your coverage.