Custom orthotics, orthopedic shoes, and custom orthopedic shoes are covered under your health benefit plan if they are medically necessary and prescribed to treat a diagnosed medical condition. Properly prescribed and constructed custom orthotics, orthopedic shoes, and custom shoes can reduce lower back, leg, and foot pain, and help you walk with greater comfort and support.

Effective January 1, 2014, you will have to submit new information to support your claims for both custom orthotics and orthopedic shoes (custom and off the shelf). You will also be required to go to specific types of health care providers to get your prescription and to buy your shoes or inserts.

Some shoes and inserts are marketed as custom orthotics, orthope- dic shoes, or custom orthopedic shoes but do not fall in line with the definition of “custom made” or “medically necessary” under your benefits plan and are therefore not eligible.

Why the changes?We want to ensure that your medically necessary custom orthotics, orthopedic shoes, and custom shoes are from qualified specialists, and that your footwear is properly constructed and fitted to treat your medical condition.