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Key Terms

Orthotic

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

Durable Medical Equipment (DME)

Reusable, medically necessary devices prescribed by a doctor for home use, such as wheelchairs or crutches.

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 device used to restrict or assist body movement

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.

Deductible

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

Accreditation

Synergy Orthopedics is a Medicare accredited company, as well as, independently accredited by the BOC Accreditation. At Synergy we take great pride in our Highly Rated Status as an accredited provider.

Medicare orthopedic recovery care company accredited

Synergy Orthopedics, LLC BBB Business Review

Coinsurance

Coinsurance is the percentage of costs you share after meeting your deductible. For example, if your plan covers 80% of a service, you may be responsible for the remaining 20%.

EOB (Explanation of Benefits)

EOB stands for Explanation of Benefits It is a statement sent by your insurance company to show what medical services you received, what the insurer paid, and what your patient responsibility may be.

Self-Pay

Self-pay means you are responsible for paying the cost of the item or service yourself, rather than having it covered by your insurance. This may occur if your insurance plan does not cover the prescribed item, the medical criteria for coverage are not met, or you choose not to use your insurance benefits.

Patient Product Agreement (PPA) Form

The Patient Product Agreement (PPA) Form is an agreement between you and Synergy Orthopedics. By signing this form, you authorize Synergy Orthopedics to contact your insurance company and submit claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) on your behalf. Your signature also acknowledges that you have received and accepted delivery of the prescribed DMEPOS item(s).