One of the most common questions we hear is:
“Are custom orthotics covered under my insurance plan?”
The short answer: in many cases, yes — but coverage varies depending on your provider.
How Insurance Coverage Works in Alberta
Most private insurance plans in Alberta provide partial or full coverage for custom orthotics. However, plans may require:
- A prescription from a physician
- A biomechanical assessment
- An invoice from a Certified Pedorthist
- Specific documentation or gait analysis
It’s always best to check your individual benefits booklet or contact your provider directly.
What Is Typically Covered?
Coverage often includes:
- Custom foot orthotics
- Custom knee braces (such as ACL or OA braces)
- Medical-grade compression socks (depending on plan)
Some plans reimburse a percentage, while others provide a fixed annual amount.
What’s Usually Not Covered?
- Over-the-counter insoles
- Non-medical compression wear
- Orthotics purchased without proper assessment
Insurance providers distinguish between custom medical devices and generic retail products.
We Help You Navigate the Process
At Brace Lady in Calgary, we provide:
- Detailed receipts
- Proper documentation
- Assistance answering common insurance questions
If you’re unsure about your coverage, we’re happy to guide you through what information to ask your provider.
Investing in proper support is important, and in many cases, your benefits plan can help.