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Knee Braces and Medicare

March 12, 2018

If you are considering buying a knee brace or back brace over the internet, or calling an 800 number, and having the people you’re communicating with bill Medicare on your behalf –  stop.  Stop immediately.  It’s a scam.  Even if you receive the back brace or knee brace, you’re being robbed.  When a medical professional bills medicare on your behalf for a knee brace or back brace they are supposed to evaluate you, measure you, fit you, and be available for follow-up.  The follow-up is good for three years!  All of that is built into the cost.  The person fitting you needs to be a credentialed medical professional.  In some states the person needs to be licensed.

The internet and 800 phone number companies are running a scam.  Don’t believe me?  Just look at the math.  When a medical professional bills Medicare for fitting a knee brace or back brace they will get reimbursed between $800 and $1200 – it depends on the state you live in, and the type of brace being ordered.  Built into that price is the evaluation, measuring, fitting, and follow up visits.  How many follow-up visits?  As many as you need.  You can go see that person everyday for three years for adjustments and they cannot charge you a penny.

Here are a couple of arthritis knee braces we sell on line.  The price is between $159.99 and $329.99.  Here is a typical back brace, $75.45.  We do not bill Medicare.  We sell to the medical professionals that do.  The medical professionals bill Medicare between $800 and $1200 – which is fair and reasonable.  Built into that price is all of the evaluating, measuring, fitting, and follow-ups.  The internet knee brace and back brace providers scam Medicare by buying the brace and shipping it to you.  They skip all the patient care that is built into the reimbursement.

Heritage Medical Equipment owns a couple of blogs, a website that sells orthopedic braces directly to consumers, and we do some distributing for the orthopedic community.  With that said, more than one of these internet and 800 number companies have contacted us over the years looking to buy our knee braces and back braces.  We have very competitive pricing so they are attracted to us.  In many of these cases it only takes a couple of phone calls to our manufacturers to learn that these companies run up huge bills, never pay them, and then disappear.

If you need a back brace or a knee brace, get a prescription from your doctor and go to a certified orthotist.  An orthotist is credentialed professional with a degree.

DO NOT LET AN INTERNET COMPANY BILL MEDICARE ON YOUR BEHALF.



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