Orthotics - Medicare Advantage

This policy covers orthotic devices — including AFOs/KAFOs (e.g., L1932), knee and spinal orthoses, braces, splints, and both custom‑fabricated and prefabricated/OTC orthoses — including fitting and adjustment for Humana Medicare Advantage members. It is intended for patients needing support, alignment, immobilization or functional assistance (for example foot‑drop, lower‑extremity weakness/paralysis, post‑injury or rehabilitation), but specific indications, medical‑necessity criteria, frequency limits and coverage decisions are determined by the applicable Medicare Administrative Contractor’s LCDs/CMS NCDs (vary by jurisdiction) and some devices may be limited to use in rehabilitation institutions or treated differently if OTC.

"Trusses"

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