Know about how to apply for Medicare covered Braces  

Medicare only covers your durable medical equipment if your doctor or provider is enrolled in Medicare. Physicians and providers must meet strict standards to enrol and continue to enrol in Medicare. If your doctor or provider is not enrolled, Medicare will not pay for the claims they send. 

One of the most important issues we discussed with beneficiaries is Medicare’s coverage for orthotics. Orthopaedic knee braces, along with any other orthopaedic device, is what the medical community calls Durable Medical Equipment or DME.

Whether you are getting DME for your knee or other areas of the body, such as the spine, wrist or ankle, your purpose is to provide treatment for a sprain / distension or osteoarthritis injury.  OrthoticTelemeds help you to covers your Orthopaedic knee braces.

Orthopaedic devices can be purchased at most medical supply stores, provided by your doctor’s office or, in some cases, can be customized with an orthopaedist. An orthographic specializes in the design, customization and adjustment of your DME device.

Whether your device is personalized or not, the purpose of your brace is to help guide, control, limit and immobilize the movement of the knee joint while trying to decrease pain.

When used in conjunction with other conservative treatments, a knee orthotic can prolong, if not alleviate, the entire surgical procedure. So, you must know about how to Apply for Medicare covered Braces

Medicare coverage for orthopaedic knee braces

DME coverage mainly falls on your Medicare Part B benefits as long as your treating doctor deems it medically necessary. In addition, traditional Medicare benefits require certain criteria that must be met in order for Part B benefits to choose coverage.

  • Knee pads must be functional and rehabilitative.
  • It should facilitate the healing process after an injury to the joint or surrounding tissues.
  • It should facilitate the healing process after a surgical procedure.
  • It must be considered “durable”, so it can withstand multiple uses for a long time
  • It must provide therapeutic benefits for use in the home.
  • You must have a prescription from your health care provider with an appropriate diagnosis for the one who needs the orthopaedic device.