Reasons for No Direct Pricing on the Website
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Customization and Individual Needs: Orthotic and prosthetic devices are rarely “off-the-shelf” items. Each device is custom-designed and fitted to the individual patient’s unique anatomy, medical condition, lifestyle, and specific functional requirements. The cost varies significantly based on materials, complexity of design, embedded technology (e.g., bionic limbs vs. basic prostheses), and the extent of rehabilitation required.
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Is hangerclinic.com a Scam- Prosthetic Limbs: Costs can range from a few thousand dollars for a basic prosthetic limb to over $100,000 for advanced bionic prostheses with microprocessors and advanced sensors.
- Orthotic Devices: Braces, supports, and cranial helmets also vary widely based on material, complexity, and whether they are custom-fabricated or prefabricated. Simple orthotics might be hundreds, while complex spinal braces could be several thousand dollars.
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Insurance Coverage Complexity: The vast majority of orthotic and prosthetic services are covered, at least in part, by health insurance. However, coverage varies dramatically based on:
- Insurance Provider: Different companies (e.g., Aetna, Cigna, Blue Cross Blue Shield, Medicare, Medicaid) have different policies, deductibles, co-pays, and out-of-pocket maximums.
- Policy Type: HMOs, PPOs, and other plans have distinct rules regarding in-network vs. out-of-network benefits.
- Medical Necessity: Insurers require documentation of “medical necessity” for devices and services, which influences coverage.
- Deductibles and Co-insurance: Patients are responsible for meeting their deductible before insurance kicks in fully, and then typically pay a percentage of the cost (co-insurance) or a flat co-pay.
- Pre-authorization Requirements: Many services require pre-authorization from the insurance company before care can begin, impacting the patient’s out-of-pocket cost.
- In-network Status: Hanger Clinic boasts being in-network with “2,500 In-network Insurance Providers,” which is a significant advantage for patients as it means lower out-of-pocket costs compared to out-of-network services.
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Service Package vs. Item Cost: The overall cost isn’t just for the device itself. It includes: Is hangerclinic.com a Scam
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- Evaluation and Assessment: Initial consultations and measurements.
- Design and Fabrication: The process of creating the custom device.
- Fitting and Adjustments: Multiple appointments for fitting, adjustments, and ensuring comfort and proper function.
- Training and Rehabilitation: Instruction on how to use and care for the device, and often integration with physical therapy.
- Follow-up Care: Ongoing adjustments, repairs, and maintenance.
How to Get Pricing Information from Hanger Clinic
Given the complexity, the best and only way to get accurate pricing information specific to your needs is to directly engage with Hanger Clinic.
- Request an Appointment: Start by requesting an appointment through their website or by calling their toll-free number.
- Initial Consultation: During your initial consultation, the clinical team will assess your specific needs and recommend appropriate devices and services.
- Insurance Verification: Hanger Clinic’s billing department will work with your insurance provider to verify your benefits, determine your coverage, and inform you of your estimated out-of-pocket costs.
- Financial Counseling: They will likely offer financial counseling to help you understand the billing process and explore payment options.
General Cost Considerations and Financial Assistance
While direct pricing isn’t available, here are some general considerations for potential patients:
- Initial Out-of-Pocket: Expect to pay your deductible and co-pay/co-insurance as determined by your insurance plan.
- Payment Plans: Many clinics, including Hanger Clinic, often offer payment plans for the patient’s portion of the bill.
- Financial Assistance Programs: Explore if Hanger Clinic or external charitable organizations offer financial assistance programs for patients who cannot afford their portion of the care. Organizations like the Amputee Coalition or regional non-profits sometimes provide support.
- Government Programs: For eligible individuals, Medicare, Medicaid, and VA benefits often cover a significant portion of orthotic and prosthetic costs.
In summary, while the absence of upfront pricing on hangerclinic.com might seem like a “con” to some, it is standard practice in highly specialized medical fields like orthotics and prosthetics.
The path to understanding costs involves direct consultation and detailed insurance verification, which Hanger Clinic’s website facilitates through its appointment request and billing information resources.
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