In the Greater Toronto Area, there are several payment providers that will cover most or all of your custom knee brace cost. Each provider has specific requirements.
1. Doctor Referral: a physician, orthopedic surgeon or sports medicine doctor will need to provide you with a written referral that includes:
a) which knee the custom knee brace is for
b) the recommendation of a custom knee brace for daily use (they will not cover custom knee braces for sports purposes only)
c) a written diagnosis, ie. ACL tear, meniscus tear, osteoarthritis, knee sprain/strain etc.
2. Estimate Letter: they will also require an estimate letter as part of their pre-approval process, which breaks down the company, brand, materials and cost
Do You Need a Private Insurance Estimate Letter?
1. Orthopedic Surgeon Referral: it can’t be from just a physician, your orthopedic surgeon will need to provide you with a written referral that includes:
a) which knee the custom knee brace is for
b) the recommendation of a custom knee brace for daily use (they will not cover custom knee braces for sports purposes only)
c) a written diagnosis, ie. ACL tear, meniscus tear, osteoarthritis, knee sprain/strain etc.
2. Estimate Letter: WSIB will also require an estimate letter which breaks down the company, brand, materials and costs
Do You Need a WSIB Estimate Letter?
1. Doctor Referral: a physician, orthopedic surgeon or sports medicine doctor will need to provide you with a written referral that includes:
a) which knee the custom knee brace is for
b) the recommendation of a custom knee brace for daily use (they will not cover custom knee braces for sports purposes only)
c) a written diagnosis, ie. ACL tear, meniscus tear, osteoarthritis, knee sprain/strain etc.
2. Estimate Letter: ODSP will also require an estimate letter which breaks down the company, brand, materials and costs
Do You Need a ODSP Estimate Letter?