Insurance

Insurance Coverage and Patient Financial Responsibility

Insurance coverage for pedorthic products and services varies widely.  We encourage patients to contact their insurance company to determine what type of coverage is provided and what deductibles and co-insurance (if any) may apply for prescription footwear and foot orthoses.  Keep in mind that your insurance policy may use certain fee schedules or allowances which may not coincide with our fees.  At the Foot Pain Relief Store all amounts charged are usual and customary for the products and services we offer. 

Please note that any benefits quoted by an insurance company do not necessarily guarantee or imply payment on their behalf, (this applies to preauthorized or pre-certified services as well) You may still be responsible for any uncovered amount or unmet deductibles. If there is any doubt about coverage Foot Pain Relief Store does reserve the right to charge a refundable deposit, payable on return payment from the insurance provider.
 

For clients with HMO or EPO plans, A referral by your primary care physician may be required which may delay delivery of orthopedic appliances. Foot Pain Relief Store will no longer accept HMO and EPO plans without prior authorization or pre-certification. We are working with many providers to join their HMO networks.

Insurance Networks:

Foot Pain Relief Store participates in the following networks. As this list is constantly changing please contact us about your particular plan or network. Remember, as stated above, any benefits quoted by an insurance company do not necessarily guarantee or imply payment on their behalf.

Medicare and Medicaid Information

Foot Pain Relief Store accepts assignments For Medicare, Medicaid

For Medicaid Patients: Foot orthotics, Diabetic shoes and insoles and most types Durable Medical Equipment  such as Walking boots, braces or AFOs are generally not covered if the patient is over the age 21. Please confirm your eligibility before receiving these devices.

For Medicare Patients, foot orthotics are not generally covered under Medicare Guidelines unless the patient is diabetic. If you still wish to receive services you may need to sign an Advance Beneficiary Notice of non coverage. Patients with Medicare supplements or secondary insurance plans may want to call their insurance companies to verify coverage for foot orthotics.

Workers Compensation

Foot Pain Relief Store accepts assignments Workers Compensation claims.  For Workers Compensation we ask that you bring in any pertinent information such as adjuster contact information, claim number and any previous medical references regarding your claim.

Insurance Deposits

If there is a question about coverage or payment by an insurance company, the Foot Pain Relief Store reserves a right to charge a deposit to help cover materials and billing costs. this may be applied to any future invoice or refunded as we receive payment or denial from your insurance company. 

Fees and Payments
Our goal is to provide the best pedorthic care and services we can.  We make every effort to keep our fees reasonable.  Therefore, all fees are due and payable at the time the services and/or device(s) are provided, Unless a payment schedule has been set up.  In addition, Deposits may be required on all items, including special order shoes, custom shoes, and foot orthoses.  We accept Visa, MasterCard, American Express and Discover.

Payment Plans

Foot Pain Relief Store will work with those who do need a little extra time to pay a balance, for all services we do ask that a minimum of half the cost of the item or services be placed as a down payment. outstanding balances not paid within a reasonable time period may be subject to collection. If a payment plan has been set up on an insurance co-pay we will NOT submit charges until the co-pay has been paid in full. please speak with one of our friendly staff with any questions you may have. 

Returns
All new unaltered shoes may be returned within seven days from the date of purchase for a refund or exchange with a 20% restocking fee.

Adjustments
There are no charges for adjustments to most foot orthotics over the course of 1 year, as these are custom fabricated devices there may need for adjustments over the course of the lifetime of the device. Foot Pain Relief store will gladly service them at reasonable and customary fees. In cases where the orthotic device is not working properly, the device is uncomfortable, device does not fit the shoe, shoe/sandal size is incorrect for patient then adjustments will be made upon request.

For Texas HMO patients:

Texas law protects your access to medical care. If you are not satisfied that your HMO is providing you with the medical services you need, you should write or call your HMO and complain. If your complaint is not resolved to your satisfaction, you can request an independent panel to review your complaint. THIS PANEL MUST BE MADE AVAILABLE TO YOU.

You may have other rights as well.

For more information call:

Texas Department of Insurance

HMO Complaint Helpline

1-800-252-3439

In Austin, Call 463-6515