Insurance

We help you understand insurance coverage for foot care. Contact your provider for detailed information on policy claims.

Every insurance plan has its own set of rules and restrictions. We cannot ask the questions for you.

If your insurance coverage includes orthopedic footwear or compression stocking, it is your responsibility to know the requirements for eligibility.

Custom Orthopedic Ltd. (COL) will put the brand and model of your products on your receipt with the relevant information for your claim; however, we cannot guarantee that your claim will be accepted.

COL does not do direct billing to private insurance companies, and your coverage provider will only discuss plan specifics with the member or administrator.

The following questions are recommended when inquiring about your coverage for every item you intend to claim:

Am I covered for orthopedic footwear? Does it have to be made from scratch, or is an OTC accepted?
OTC shoes are typically between $150–$350. Custom-made footwear typically costs $2,500.00 and up. Know your budget!
Some plans reset on New Year’s Day, some reset 365 days after your last service date. Some plans only cover every 2 to 3 years!

Some plans have a list of accepted diagnoses and covered treatment options. Some have specific forms that must be included. Some stocking coverages are restricted to specific compression ranges. Ask questions!

If you have any questions or require assistance, contact us at customorthopedic@gmail.com, and we will try to assist you.

Custom Orthopedic Ltd. & The Walk Shoppe!

About Us - Visit us In Store - Interior of Custom Orthopedic & The Walk Shoppe—Edmonton’s trusted source for custom orthotics, footwear, and foot health since 1990.

About the Prescription (Rx)

In general you should have an Rx from an independent source that has no vested interest in whether or not you purchase a device. This step can help to ensure that you are not being told you need a device just to make a sale.

We also recommend that you ask that a Diagnosis (Dx) be included on your Rx. This means no ‘ foot pain’ or ‘back pain’ or ‘for medical reasons’. (It’s pretty much a given that you are having pain/discomfort; that’s likely WHY you are looking for orthotics. They’re not for cosmetic purposes after all.)

Diagnosis should be in medical terms, not common terms. Here are some common examples:

‘Heel Pain’ is the symptom,not a diagnosis. WHY do you have heel pain? Is it because of ‘planter fasciitis’, heel pain syndrome, pinched nerve or is it a broken heel bone?

‘Flat Feet’ is the symptom. Many people have flat feet and don’t have any pain or problems… the question is WHY are those feet flat hurting you? Did you crush both feet as a child? Do you have STJ Over-Pronation? Do you have Post-Tib. Tendenosis? It’s important to know WHY you are in pain!

Your diagnosis will help to determine what kind of treatment you will require! Have your Doctor call us if you have questions.