Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: • Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. • Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. • Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see Diabetes Section.
Appears in 2 contracts
Samples: Group Subscriber Agreement, Group Subscriber Agreement
Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: • · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. • · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. • · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.
Appears in 2 contracts
Samples: Group Subscriber Agreement, Group Subscriber Agreement
Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: • Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. • Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. • Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetesDiabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.
Appears in 1 contract
Samples: Group Subscriber Agreement
Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: • Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other another significant neuropathy. • Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. guidelines. • Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetesDiabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see Diabetes Section.
Appears in 1 contract
Samples: Group Subscriber Agreement
Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: • · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. • · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. • · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetesDiabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.
Appears in 1 contract
Samples: Group Subscriber Agreement
Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: • Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. • Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. • Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.
Appears in 1 contract
Samples: Group Subscriber Agreement