VNS Health Total: Prosthetic Devices and Related Supplies
Prosthetics replace or restore lost functionality and include everything from orthotic shoes to implants to artificial limbs.
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How To Receive
Details on how to apply
Obtain an in-network provider or network specialist order for a prosthetic device.
This may take place in the course of existing treatment, such as with a cardiologist for heart arrhythmia.
Locate a network prosthetic supplier: Click on the Anciallary Services tab on the page, then click on Prosthetics and Orthotics
Contact the VNS Health Total Care Team at (866) 783-1444 (TTY 711) for prior authorization.
The ordering provider may help with authorization.
The prosthetic supplier may also help with authorization.
Schedule a fitting appointment with the prosthetic supplier.
Attend the fitting appointment.
If transportation is needed to and from the appointment:
Call (877) 718-4219 (TTY: 711), M-F 8am-8pm, at least 48 hours in advance of the needed transportation.
Have the date, time, location, and reason for transportation ready when calling.
Receive authorization and guidance on scheduling the transportation service.
Get confirmation of scheduled transportation.
Use the transportation service to and from the appointment.
Receive the prosthetic when completed and available.
This may involve an implantation procedure, such as with a pacemaker.
Ensure proper education and demonstration of prosthetic use and care, including following all manufacturer guidelines.
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Prosthetic devices are devices (other than dental) that replace all or part of a body part or its function. For example, a pacemaker replaces the electrical signals in the heart, orthotic shoes replace structures in the feet that are missing or damaged, and a colostomy replaces part of the bowel.
Prosthetics and Orthotics
Braces for ankle, foot, knee, back, neck, spine, hand, wrist, elbow
Artificial eyes
Artificial limbs
A surgical brassiere after mastectomy, and some types of breast prostheses
Devices to replace an internal body organ or function of the organ (colostomy supplies, oral and intravenous nutrition, pacemakers, and more).
Orthopedic shoes
Also included are certain supplies related to prosthetic devices and repair and/or replacement of prosthetic devices. There may also be some coverage following cataract removal or cataract surgery (see Vision Care benefit).
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