Does medical aid cover Orthotic and Prosthetic procedures?
Yes, medical aids do provide cover for most Orthotic and Prosthetics procedures. This involves consultation, fabrication and fitting of devices. However coverage remains subject to the medical aid plan and availability of funds. Please consult your medical scheme's information guide to clear uncertainty. In most cases Orthotics and Prosthetics are covered by the Appliances section, also Prosthetics and Savings section. Orthotics and Prosthetics are in most cases not dependent on the day-to-day benefits used for family doctor consultations and medications. (this means that even if the day-to-day benefits are exhausted, your medical scheme might still provide cover for a brace of artificial limb)
What is up with the Tree?
This symbol or emblem is internationally recognised and linked to the profession of orthotics and orthopaedics. The tree is a living and growing thing. And so is every living person. We might not grow in length any more after a certain age, but our bodies replaces millions of cells daily. This enables our bodies to heal a wound, or a fractured bone. Keeping this in mind, with enough support and stability, the tree will eventually straighten out. It will grow independently and strong, even after the brace is gone.
What is an Orthotic?
By most individuals and "orthotic" is understood as a special shoe insert to support the arches that are painful or unstable. Orthotics is actually concerned with kinds of bracing. Specifically it refers to Orthopaedic type bracing. What this entails, is all about supporting, stabilizing or even immobilizing a limb. There should always be a treatment plan when someone is braced, an outcome. The brace should promote the person and not be of hindrance.
Why is it needed for an Orthotic/Brace?
A limb or part of the body might have been injured, suffer from a limitation or be disabled. In these instances orthoses (braces) might be needed. Orthoses will either limit movement or it will support movement (mobilising). Therefore it wil support, stabilise, mobilise or immobilise a limb or part of the body. Orthoses can be taken of for cleaning purposes and in most instances during rest or sleeping. This means, for most people they only need to use the brace during working, walking, sport etc. It is clear that the brace use by the client is designed for a specific purpose. Purposes are mostly determined by the client, this is why orthoses are a process. Frans will take all the time needed to assess and consult with each client to determine the exact need for bracing. It is the same principle of not buying a tractor for a family vehicle.
Injuries on Duty
Also known as a COIDA or WCA. The compensation commissioner of South Africa provides certain cover for people that were injured on duty. The injury has to be registered at the compensation commissioner and funding is subjected to COIDA approval. In the case of a permanent disability or amputation, there are guidelines of how regularly the compensation commissioner can provide funding for a brace, artificial limb or wheelchair.
Road Accident Fund
The Road Accident Fund (RAF) is an organisation of South Africa that aims to provide medical cover for individuals injured as a result of a motor vehicle accident. This is subject to the RAF's approval. The injury is registered with the RAF and according to the organisation's discretion provide funding for the replacement and fabrication of an artificial limb or brace.