Tuesday, May 1, 2007

Nationwide, Current Restrictions to Prosthetic Coverage by Private Insurers Include:

  • No coverage for repairs or replacements
  • Increased co-pays, deductibles and out-of-pocket expenses
  • A cap on benefits if a patient receives a prosthesis from another insurance company
  • Annual caps of $1000 to $5000
  • $2500 to $7000 maximum lifetime cap
  • One prosthesis per lifetime

(This information comes from Action Plan for People with Limb Loss, a publication of The Amputee Coalition of America)

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