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Amputee Life Blog — Prosthetic Insurance

What You Need to Know About Obamacare in 2019

Posted by Bryan Potok, CPO on

The bigger question is: are prostheses covered by the Affordable Care Act? As a result of ObamaCare, “all individual and small group health insurance plans must now cover something called Essential Health Benefits, or EHBs.” According to healthcare.gov, these are “services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills.” Individual and most small-group plans and employers with 50 or fewer employees are required to cover prosthetics in some way.

Understanding your benefits under Obamacare and Essential Health Benefits.

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Living Better: How to Get Better Prosthetic Devices Through Your Insurer

Posted by Bryan Potok, CPO on

The medical community is always coming up with the best solutions so thousands of people can enjoy their lives and reclaim independence. However, the journey to getting the latest and best assistive devices is not as simple as getting the latest smartphone. Depending on your insurance provider, upgrading to a better machine can take a while. The process can have you jumping through hoops and numerous rules which is why we, at Amputee Store, wrote this guide for you. 

Medical justification and persistance can help get prosthetic limbs approved by blue cross of california.

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How to Understand a Prosthetic EOB and How Much Your Prosthetist Actually Gets Paid

Posted by Bryan Potok, CPO on

EOBs are a good way for insurance companies and health care providers to provide transparency and information as to where the money went after your service redemption. This is also a way for companies to inform patients how much they still owe. Insurance providers such as Blue Cross Blue Shield publish sample EOBs on their website, so patients can familiarize themselves with the document and not get lost in all the information contained therein. Read this article for an overview of how to read an EOB.

How much do Prosthetic facilities actually get paid.

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What to do when your prosthetist leaves your health plan

Posted by Bryan Potok, CPO on

You may be among the many who get along well with their current prosthetist, whether they have been with you since the beginning of your journey as an amputee or they are relatively new. They are always there for you, helping you to live well and adjust to your new amputee lifestyle. They know you, and they anticipate your needs just as a friend would.  What do you do when your Prosthetist is no longer in your health plan network?

What do you do when your prosthetist leaves your insurance network.

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Cost Containment and Your Prosthesis

Posted by Bryan Potok, CPO on

A lot of insurance companies have very low limits for prosthetic coverage. Health insurers oftentimes want you and your medical team to opt for less expensive prosthetic components that they're willing to pay for. Here's how you can get the most appropriate prosthetic device while still containing cost.

Know how you can get the best prosthesis without having to pay more out of pocket

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