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Archive for April 9th, 2012

Will insurance pay for an arthritis knee brace?  Yes.

Medicare, Medicaid, and most HMO’s and PPO’s will reimburse providers for the application of an arthritis knee brace.  The “Durable Medical Equipment” rider of the policy will explain what is covered and deductibles.

Generally health insurance will pay for a knee brace if the patient has documented osteoarthritis of the knee, and a valid prescription.  Some states require the person measuring and fitting the knee brace to have certain levels of certification.  Usually a person is eligible for a knee brace if they have not received the same or similar type of orthopedic appliance within the past three years.

Insurance is willing to reimburse for arthritis knee braces because this treatment option for osteoarthritis of the knee saves them money.  Knee braces are much less expensive than surgery.  Also, knee braces do not react with medications or cause the stomach issues commonly associated with drugs.  Sick patients cost insurance companies money.

An insurance company would much rather pay for a knee brace than to continually pay for medication or reimburse a surgeon.