What do I need to bring to the initial appointment?
A prescription, insurance information/and or workers compensation information if applicable, and a valid ID are required for the initial appointment.
What insurance plans do you accept?
Below is a list of common insurance plans that we accept at Northeast Orthotics and Prosthetics, Inc. We will submit claims to private and commercial insurances on your behalf but we cannot guarantee payment. If your insurance company is not listed below please be sure to contact them before your visit to inquire about coverage. Please note: We do not accept Mass Health.
- BlueCross Blue Shield
- Harvard Pilgrim Health Care
- Health Plans, Inc.
- Medicaid of Rhode Island
- Neighborhood Health Plan of RI
- Pequot Insurance
- Primarily Care
- Tufts Health Plan
- United Healthcare
Do I need a prescription?
Yes, a valid prescription from your physician is required for all orthotic and prosthetic supplies, even if the service is not covered by your insurance.
Will my insurance cover my services at Northeast Orthotics & Prosthetics?
Check with your insurance company to determine whether your policy includes orthotic or prosthetic coverage. NEOP has provider contracts with most insurance companies, however plan deductibles and coverage limits may apply. Our office will request authorization based on information given during the initial appointment and a patient financial responsibility letter will be sent home if there is a portion not covered (co-insurance, co-pay, or full balance). Patient balance is due when you receive your orthosis or prosthesis.
Does NEOP take my insurance?
Please refer to the list of insurance companies we participate with. Please note, HMO mass blue cross blue shield does not pay for services in Rhode Island if you have a Massachusetts PCP.
What if I have a co-payment amount with my insurance?
You will receive a letter stating your financial responsibility, which is due at the time of delivery. Moreover, if you would like a rapid response, our office can usually determine benefits within 24-48 hours (this excludes helmet coverage as many insurance companies will not determine benefits until claim or pre-authorization is submitted).
How much will it cost me?
We cannot give an estimate on the cost of the device without evaluating your specific needs. Generally, orthotic and prosthetic products are made up of multiple devices each defined by a specific base code used for billing insurance companies. These codes can range vastly in price and are generally covered by insurance companies. Once evaluated, an accurate set of codes can be determined and our office can provide you with an anticipated copayment for your service if you decide to proceed. All office visits, applicable adjustments, and evaluations are free of charge.
Are foot orthotics covered by insurance?
Generally, foot orthotics & UCB inserts are not covered by most insurance plans unless you are diabetic.
When will I receive my orthotic?
Usually custom orthotics take two weeks to fabricate, however, most of the off the shelf devices can be fit the same day.
How soon will I have my prosthesis?
This can vary significantly depending on your particular situation, generally 1-3 weeks.