Key Terms

(From Wikipedia)

Orthotic

An orthotic is “an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system”.[1]

DME

Durable Medical Equipment

Prosthetic

A prosthetic is an artificial device that replaces a missing body part, which may be lost through trauma, disease, or congenital conditions

Brace

A device used to restrict or assist body movement

Splint

A splint is a device used for support or immobilization of a limb or the spine.

What is a co-pay?

A co-pay is a fixed payment for a covered service, paid when an individual receives service. In the United States, copayment is a payment defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company. Copayments do not usually contribute towards any policy out-of-pocket maxima whereas coinsurance payments do.[1]


What is a deductible?

A deductible is the amount of expenses that must be paid out of pocket before an insurer will pay any expenses.[1] In general usage, the term deductible may be used to describe one of several types of clauses (see below) that are used by insurance companies as a threshold for policy payments.