Your feet are an often-overlooked area of your body, yet when you have significant pain in your feet, it colors your attitude about your entire life. Each foot has 26 bones, 33 joints, and more than 120 muscles, ligaments, tendons, and nerves, which work together to support a person’s weight, act as a shock absorber, and keep you balanced. Most people average at least four hours on their feet each day, taking about 5,000 steps. Severe foot pain can make mobility difficult, resulting in weight gain, compromised heart function, and more.
Yet almost 90 percent of all people have foot pain at some point in their life, and a full one-third of older adults suffer from chronically aching feet—pain that could potentially be alleviated through the use of orthotics. Orthotics are special shoe inserts that support the abnormal movement of feet. Orthotics promote proper movement and foot alignment but can be expensive, which may result in insurance companies refusing to pay a claim for orthotics. For orthotics denied by insurance, you need an experienced attorney like Scott Glovsky who knows how to get a denial turned into an approval.
Why Could Your Orthotics Insurance Claim Be Denied?
Your claim may have been denied simply because you failed to provide all the information required by your insurance company. Sometimes, correcting any mistakes can result in your claim being approved. Your doctor may need to provide a letter to your insurer that will detail why the orthotics are necessary for your foot pain and how they will help. Your insurer may still deny your claim, stating the orthotics are “not medically necessary.” Having constant foot pain can change the way you see the world. Chronic foot pain makes work and recreational activities extremely difficult. Your insurer is unlikely to say that the orthotics are experimental or investigational, as orthotics have been prescribed for foot pain for a very long time.
What Should You Do for Orthotics Denied by Insurance?
You have options for orthotics denied by insurance. As noted, you can have your doctor provide a letter detailing why orthotics are important for your pain management and health. If your insurer still refuses to cover orthotics, you can file an internal appeal with the help of Scott Glovsky and his knowledgeable legal team. If your internal appeal is unsuccessful, you can file an external appeal with a neutral third party. We recommend you speak with an experienced health insurance denial attorney before filing an external appeal because this lawyer may recommend you follow a different path. Attorney Scott Glovsky will go to bat for you for an insurance denial, working tirelessly to have the denial reversed.
What Insurance Companies Are Most Likely to Deny a Claim for Orthotics?
While any insurance company can deny your orthotics claim, some companies may be more likely to do so. Orthotics are commonly denied, despite the medical evidence that orthotics can significantly reduce foot pain, thus improving the individual’s overall quality of life. California insurance companies that could deny a claim for orthotics include:
Are Orthotics Expensive?
Custom orthotics can cost from $300 to $800. Some insurers will pay for custom orthotics, while others may go out of their way to avoid paying for orthotics. Since one determiner of whether an insurance company will pay for a medical device or treatment often has to do with how much it costs, it can feel like an uphill battle to persuade your insurance company to pay for your orthotics. The good news is you don’t need to fight your insurer on your own. The Law Offices of Scott Glovsky will help you through the process from start to finish, always focusing on a reversal of your initial denial.
How Can an Attorney Help with Orthotics Denied by Insurance?
You may wonder whether you can challenge orthotics denied by insurance on your own. You can, of course, file your internal and external appeals on your own, however, most people are unfamiliar with the process. One simple mistake can ensure your claim denial will not be reversed. Scott Glovsky and his legal team deal with insurance denials every single day—and have done so for more than two decades. This level of experience, coupled with a solid commitment to every client means your denial has a much better chance of being reversed once Scott Glovsky gets involved.
How Attorney Scott Glovsky Can Get Your Insurance Denial Reversed
When you choose the Law Offices of Scott Glovsky, you will have an attorney and legal team that are well-respected, with a solid reputation. Scott has experience working on the other side, as he originally worked in large corporate law firms defending insurance companies in bad faith lawsuits. This experience allows Scott to have a thorough understanding of the tactics used by insurance companies as well as an understanding of how they think and operate.
At the Law Offices of Scott Glovsky, we take fewer cases so we can personally devote all the time necessary to each client. This is not an “assembly line” law firm, but rather a focused team of highly experienced professionals who are committed to helping you get what you need. Contact the Law Offices of Scott Glovsky today for the assistance you need with your orthotics denied by insurance issues.