Foot Orthotics

Aetna covers foot orthotics/prostheses only when prescribed by a qualified prescriber and a participating physician or licensed practitioner documents—based on physical examination—that the device will significantly improve or restore mobility-related activities of daily living, is supplied within six months of prescription, and is provided by a duly licensed/certified orthotic/prosthetic provider. Exclusions/limits: diabetic shoes/inserts are experimental if diabetic criteria aren’t met, deluxe/non‑therapeutic features and most orthopedic/supportive shoes are not covered except in specified exceptions (e.g., integral to a leg brace, post‑surgical/rehab, prosthetic shoes), orthotics made the same day as an open cutting surgery are not medically necessary, and only one orthotic per foot is covered.

"Orthosis (foot orthotics) and/or prosthesis is medically necessary when care is prescribed by a physician, nurse practitioner, podiatrist or other health professional who is qualified to prescribe ..."