Aetna Insurance Coverage By Care Podiatry, CA

The policy clearly highlights when braces for the ankle, foot, and knee become medically necessary and are covered. At Care Podiatry, we work with patients who are covered under Aetna insurance plans.

When Do Braces or Artificial Limbs Become Medically Necessary

A brace can be considered medically necessary when:

It is prescribed by a qualified healthcare provider or a medical practitioner.
It improves or restores the person's ability to move and do daily activities.
A doctor says that it will help with daily tasks after examining the patient.
It is made and fitted by a licensed or certified professional.

Under most Aetna plans, routine foot care is not covered. However, some services can be eligible for coverage when they are considered medically necessary. Call us at (657) 441-1484 or visit our Anaheim or Lakewood, CA, offices to get the right information.

General Coverage Rules

Braces are not considered medically necessary if they are only used to prevent injuries in someone who is not injured. They are also not covered if they are used only for sports activities or personal use. Some items, such as socks used with the braces, are not covered because they are not categorized under durable equipment.

Repairs needed for medically necessary braces are covered when required due to normal wear and tear. Replacement can also be covered if the device is not used or if the patient’s condition has changed.

Need Help Understanding Your Coverage

Our team at Care Podiatry is happy to assist you in understanding your Aetna benefits. We can guide you about the services that are covered. Contact us today to verify your insurance.