Common use of Orthotic Appliances Clause in Contracts

Orthotic Appliances. Functional foot Orthotics including those for plantar fasciitis, pes planus (flat feet), heel spurs, Orthopedic or corrective shoes, arch supports, shoe appliances, foot Orthotics, and custom fitted braces or splints are not Covered, except for patients with diabetes or other significant peripheral neuropathies. Custom-fitted Orthotics/Orthosis are not Covered except for knee-ankle-foot (KAFO) Orthosis and/or ankle-foot Orthosis (AFO) except for Members who meet national recognized guidelines. Prosthetic Devices Artificial aids including speech synthesis devices are not Covered, except items identified as being Covered in the Benefits Section. Surgical Dressing Common disposable medical supplies that can be purchased over the counter such as, but not limited to, bandages, adhesive bandages, gauze (such as 4 by 4’s), and elastic wrap bandages are not Covered, except when provided in a Hospital or Practitioner’s/Provider’s office or by a home health professional. Gloves are not Covered, unless part of a wound treatment kit. Elastic Support hose are not Covered.

Orthotic Appliances. Functional foot Orthotics including those for plantar fasciitis, pes planus (flat feet), heel spurs, Orthopedic or corrective shoes, arch supports, shoe appliances, foot Orthotics, and custom fitted braces or splints are not Covered, except for patients with diabetes or other significant peripheral neuropathies. Custom-fitted Orthotics/Orthosis are not Covered except for knee-ankle-foot (KAFO) Orthosis and/or ankle-foot Orthosis (AFO) except for Members who meet national recognized guidelines. Prosthetic Devices Artificial aids including speech synthesis devices are not Covered, except items identified as being Covered in the Benefits Section. Surgical Dressing Common disposable medical supplies that can be purchased over the counter such as, but not limited to, bandages, adhesive bandages, gauze (such as 4 by 4’s), and elastic wrap bandages are not Covered, except when provided in a Hospital or Practitioner’s/Provider’s office or by a home health professional. professional.‌‌ Gloves are not Covered, unless part of a wound treatment kit. Elastic Support hose are not Covered.

Orthotic Appliances. Functional foot Orthotics including those for plantar fasciitis, pes planus (flat feet), heel spurs, Orthopedic or corrective shoes, arch supports, shoe appliances, foot Orthotics, and custom fitted braces or splints are not Covered, except for patients with diabetes or other significant peripheral neuropathies. Custom-fitted Orthotics/Orthosis are not Covered except for knee-ankle-foot (KAFO) Orthosis and/or ankle-foot Orthosis (AFO) except for Members who meet national recognized guidelines. Prosthetic Devices Artificial aids including speech synthesis devices are not Covered, except items identified as being Covered in the Benefits Section. Surgical Dressing Common disposable medical supplies that can be purchased over the counter such as, but not limited to, bandages, adhesive bandages, gauze (such as 4 four by 4four’s), and elastic wrap bandages are not Covered, except when provided in a Hospital or Practitioner’s/Provider’s office or by a home health professional. professional.‌‌ Gloves are not Covered, unless part of a wound treatment kit. Elastic Support hose are not Covered.

Orthotic Appliances. Functional foot Orthotics including those for plantar fasciitis, pes planus (flat feet), heel spurs, Orthopedic or corrective shoes, arch supports, shoe appliances, foot Orthotics, and custom fitted braces or splints are not Covered, except for patients with diabetes or other significant peripheral neuropathies. Custom-fitted Orthotics/Orthosis are not Covered except for knee-ankle-foot (KAFO) Orthosis and/or ankle-foot Orthosis (AFO) except for Members who meet national recognized guidelines. Prosthetic Devices Artificial aids including speech synthesis devices are not Covered, except items identified as being Covered in the Benefits Section. Surgical Dressing Common disposable medical supplies that can be purchased over the counter such as, but not limited to, bandages, adhesive bandages, gauze (such as 4 four by 4four’s), and elastic wrap bandages are not Covered, except when provided in a Hospital or Practitioner’s/Provider’s office or by a home health professional. professional.‌‌‌ Gloves are not Covered, unless part of a wound treatment kit. Elastic Support hose are not Covered.