Insurance & Financial Information
Prosthetic & Orthotic Solutions is committed to providing you with the highest quality products and services. This commitment extends to your overall experience, including the financial portion of your visit. We will do our best to help you understand your insurance plan and alert you to any portion that will be your responsibility. We accept Medicare, Medicaid, and most major commercial plans. We make every effort to research your insurance benefits extensively prior to delivery and assist you with the authorization process. Insurance companies require supporting documentation for authorization or clinical review. We will provide you with the details to request from your doctor to obtain this supporting documentation.
Because Insurance companies do not guarantee coverage, we encourage you to reach out to your health insurance carrier in addition to our research. We are happy to provide you with the codes that will be used to submit your claim.
If we anticipate that you will owe a balance after your insurance pays, we may ask to be paid prior to fabrication or upon delivery. With commercial plans, there is usually a deductible and a percentage that the patient owes as a co-insurance. We will work with you by offering payment plans as needed. If you wish to discuss options, please speak with one of our staff members to make arrangements.
We accept the following methods of payment; Cash, Check, ACH, Money Order, VISA, Mastercard, American Express, and Discover. We do not accept CareCredit at this time.
Below is a list of In-network commercial, Medicare and Medicaid insurance plans that we accept. If you do not see your insurance(s) mentioned please call us to see if we can accept it. *If a plan is not listed we may still be able to take that insurance.
In-Network Commercial Insurance Companies:
Blue Cross Blue Shield of Massachusetts (we can also accept out of state plans)
Great West Health Plans (managed by Cigna)
Harvard Pilgrim Health Care
Health New England
Tricare North Region & Tricare for Life
Tufts Health Plan
US Family Health Plan
United Health Care
Workers Compensation & Auto Insurance
In-Network Medicare & Medicaid Plans:
Blue Cross Medex Medicare Supplement
Blue Cross Medicare Advantage
BMC HealthNet / Northwood
Commonwealth Care Alliance
Connecticut Medicaid (Husky Plan/HP)
MassHealth (the types below cover our services)
- Essential (Prosthetics only)
- Commonwealth Care
- Family Assistance
- PCC or Primary Care Physician Plan
Medicare Part B
Health New England Be Healthy Plan
Health New England Medicare Advantage
Neighborhood Health Plan
Serenity Care Pace
Tufts Medicare Preferred
Tufts Public Plans or Tufts Together (Formerly Network Health)