Q. Are orthotics and custom bracing products covered under my extended health
benefit plan?
A. Yes. The above items are covered under most extended health benefit plans which means there is no out of pocket expense to our clients in the end.
Q. Are compression socks also covered under my extended health benefit plan?
A. Most public and private sector plans do cover compression garments however they all differ in terms of the individual coverage. To ensure your coverage we will provide you with an estimate which after sending in you will be issued an approval from your insurance. We can then move forward and provide you with proper fitting and selections of our most trusted brands.
Q. Do I require a prescription from my doctor in order to access the items through my benefit plan?
A. Yes. The orthotics, bracing and compressions garment products supplied by PRS and covered under your benefit plan are 100% by prescription ONLY. In addition, PRS centre will supply you with a trial brace / compression socks as well as the initial consultation and recommendation form necessary to get authorization by your family or walk in clinic physician.
Q. Will last year's prescription or a photocopy of the prescription original suffice?
A. To ensure 100% approval, an original copy dated in the last twelve (12) months is what we at PRS always recommend to all of our clients in order to avoid denials from your benefits provider.
Q. What is the next step after I have gathered the prescriptions?
A. Contact our lovely PRS staff and we will gladly book your appointment for fitting, product selection and administrative claim assistance. Keep in mind that initial consultation is free of charge as it is our pleasure to assist you with your health needs.
Q. How can I be certain that the above items are covered under my benefit plan?
A. At PRS we understand that the plan coverage will differ depending on the type of plan you have( ie. Public, private, type of insurance, etc.). This is why we will provide you with a FREE estimate for the desired medical product for you to submit to your benefits provider and ensure your coverage. After you have received the approval from your insurance we will then move forward to the next step of the process and schedule your fitting and product selection appointments.
Q. Is my spouse / family members eligible for the orthotics, bracing or compression products under my plan?
A. As long as they are covered under the same plan the coverage extends to your spouse / family members, absolutely. In addition, at PRS Centre we accept co-ordinated benefit plans and have family and group offers so please let us know so we can reward you.
Q. How often am I eligible to get new orthotics, bracing and compression products under my plan?
A. Each benefit plan is different and hence why we recommend that you consult with your benefit provider each calendar year before deciding on your purchase. Our highly trained staff will also assist you with reviewing the coverage details in your benefits booklet as well as send you yearly updates and reminders.
Q. How do I know what paperwork to send to my benefit provider after my purchase?
A. Our PRS staff will assist you with the administration process and help you with your claim submission. All of this is a courtesy to our clients and is free of charge.
Q. What happens if my orthotics, brace, compression socks no longer fits properly down the road?
A. If you find that your orthotics, brace, compression socks do not fit the way they used to, (often due to factors like weight fluctuation , etc) at PRS you will be provided a refitting free of charge five (5) years from the time of your initial medical device fitting. So if the brace / compression socks no longer fits the way you like it, schedule an appointment with PRS and we will gladly provide you with a refitting.