Premium Quality Medical Braces Funded by Medicare

Covnenant Medical Supplies is a back, leg, ankle brace company you can trust for insurance-backed braces. If you are enrolled in Medicare, Medicare Advantage Plans, Medigap and other medical insurance plans, you can use back, leg and ankle braces without paying anything out of your pocket. However, not all qualify for coverage. Contact us today to find out if your insurance coverage will pay for the cost of your medical braces. We can also help you find coverage for braces and other medical equipment prescribed by a doctor.

A brace is one of the medical devices your physician can prescribe for back pain, arm, thigh, knee and leg injuries, post-surgery recovery and more. They are popular among seniors because of the increased risk of suffering back, leg, and ankle pain or injuries. You will also encounter different kinds of braces and some models are quite costly. If your doctor prescribes a medical brace, Medicare can cover the cost. However, medical insurance coverage is a complex subject. While Medicare and other insurance plans can cover the cost of your brace, there are various things to note.

Braces Covered by Medical Insurance

Braces have diverse uses, but most offered for the following:

  • Immobilize injured areas during recovery
  • Elongate the spine and improve posture
  • Reduce back, neck and leg pain
  • Assist in movements like sitting and standing
  • Replace surgery
  • Stabilize your back, neck or leg following surgery

Braces can be offered for other reasons. However, if you are enrolled in Medicare Part B, only braces prequalified by a doctor’s prescription are liable for coverage. Braces are collectively termed as prefabricated orthotics, which fall under DMEPOS in Medicare. They are covered by your medical insurance and Medicare Part A if you are hospitalized. Seniors enrolled in Medicare Part B, Medicare Advantage Plans and other medical insurance plans can cover the cost of their physician-prescribed back and leg braces.

How much for braces?

The DME (durable medical equipment) supplier and healthcare provider you choose will have a big influence on the total cost you will pay for your brace. The type and model also influence the cost. If you are eligible for coverage, Medicare will pay for 80% of the cost of your brace, leaving you to contribute the remaining amount out-of-pocket. A quick solution is to purchase extra coverage, such as the Medigap Plan and Medicare Supplement Plan. It is recommended to choose premium-quality options from trusted DME suppliers.

Insurance-Covered DME/DMEPOS

Medicare and other insurance plans offer coverage for medical equipment and supplies. These are grouped as DME (durable medical equipment) or DMEPOS (durable medical equipment, prosthetics, orthotics and supplies). Braces fall under orthotics, but not all will receive coverage.

Medicare-backed braces must meet specific requirements, including the following:

  • Prescribed by a licensed practitioner as a medical necessity for the patient.
  • Improve recovery or provide therapeutic use for the patient.
  • The patient must use it frequently.
  • Braces from healthcare providers and suppliers that accept Medicare assignment.

How Much Is Covered?

Medicare Part A will pay 80% of the cost of your braces. The 20% is left to the beneficiary who pays out-of-pocket. You can enroll in Medigap Plan or Medicare Supplement Plan to cover the remaining 20% and other costs, such as deductibles, copays and coinsurance.

Other Medical Insurance Policies That Cover Braces

You can purchase insurance policies that include coverage for medical bills and the cost of recovering from bodily injuries. Some policies have coverage for the cost of your braces. However, it is important to ensure the insurance coverage includes medical equipment, such as braces. Coverage is different, so you should examine the policy to determine how much your carrier will pay. It is also essential to find a licensed healthcare provider and trusted DME supplier.


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