ORTHOTICS & BRACING FAQs
Why am I receiving this brace?
Your physician is prescribing this brace to help in the healing process for your injury. Braces are used for several reasons: To immobilize the injured area, to allow function of the area while providing support, or to limit range of motion and support to provide an optimal healing environment.
Do I have a choice as to where I receive my bracing and orthotic device?
Yes. Wellington physicians provide in-office bracing and orthotics as a convenience to the patient and to make sure the patient receives the correct device for managing your injury. However if you prefer to receive the product from another source your physician can write a prescription for the product. Wellington also provides a list of local vendors who may provide this type of product.
Will my insurance pay for this product?
This would depend on your individual plan. In general insurance plans work in three ways: Insurance may cover the brace at 100%…at no cost to the patient. Insurance may cover a portion of the brace, and the other portion or Co-insurance, would be the patient’s responsibility. Insurance may not cover the brace at all…and the entire cost of the brace would become the patient’s responsibility. PLEASE BE AWARE: Some insurance plans have a separate deductible for DME/Bracing and Orthotics.
Do I need preauthorization/precertification for this device?
Wellington has a system in place to preauthorize DME/Bracing and orthotics. However, Wellington does this as a courtesy to patients and Authorization does not guarantee payment. Wellington recommends that all patients contact their insurance company to verify their benefits from their plan.
Why are some braces not billed to my insurance?
Insurance companies do not recognize some braces as reimbursable. As a convenience for patient’s Wellington offers high quality Medical Grade braces through a retail program. These devices are different that those you would find at a typical retail center because they are medical grade with a manufacturers warranty.
Can I return this product?
All bracing and orthotic devices are returnable if they have a manufacturing defect and are going to be replaced with the same type of device. The bracing and orthotic device is a single use prescription device similar to receiving a prescription at your pharmacy.
How long is the warranty on the device?
It depends on the device that your receive. However in general terms most devices have a 60 day manufacturer’s warranty. If there is a defect in the device the product will be replaced at no cost to the patient.
Orthotic and Prosthetics Deposit
It has become common practice in the Orthopedic Orthotics and Prosthetics industry, to require a deposit pending further reimbursement from the insurance companies. This “deposit” is applied toward the total cost of the brace. Most insurance providers have a separate deductible and coinsurance for this section of your health insurance. If the insurance company covers the brace at 100%… the deposit will be credited to your Wellington account. If you have a credit balance on your account a reimbursement check will be issued.
Return Policy for Orthotics
Medical Devices are considered one time use products and once the device leaves the physicians office they are considered non-returnable unless there is a manufacturer defect. If a defect is the issue, the product will be exchanged for the same product. Manufacturer warranties are 60 days from the date of purchase.