FAQ 10: Does health insurance cover prosthetics?

Whether you have a congenital or acquired limb difference, your insurance should support you in your decision to explore prostheses options. If you have an upper limb difference, the below information from our community might help answer your query – does health insurance cover prosthetics? If you would like to speak to us about Hero Arm funding and insurance, please register below.

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Download our latest 2024 guide sharing best insurance companies that cover costs of the Hero Arm

Casey had 100% of costs paid by insurance

Casey is a super motivated person and persisted with his insurance and eventually successfully won 100% coverage for his care and Hero Arm via Medicare after overcoming 3 denials. Read his story.

Meet Casey

Laiken had insurance denied twice before final approval

Laiken from Louisiana was born with a limb difference and had to work really hard to get insurance to approve the costs of getting a bionic arm – “the first time my insurance claim was denied for a bionic arm, I was offered an arm with a heavy body harness most commonly known to be worn by military men. It was so heavy and put a strain on the whole body which seemed so counter-intuitive.

Laiken's bionic journey

Over 70% of Hero Arm orders across the US are funded by insurance. However as we bring the costs of the Hero Arm down, we are now seeing more people choosing to self-fund. – Samantha Payne, CEO Open Bionics

Available through most insurance companies

Logan's mum won re-appeal for her son's Hero Arm

“Emily really set the expectations, she let us know that insurance would probably deny this (Hero Arm) right out of the gate, but I am going to work with you to appeal it.”

Read the story of how this mum re-appealed an insurance denial and won.

Meet Logan

Jeff only paid a minimal sum after insurance covered costs of the Hero Arm

A year on with the Hero Arm

Richard couldn't wait for another insurance denial for his prosthesis

After seeing the Hero Arm Richard from Michigan knew he wanted one to motivate him to reach his personal goals. However, after multiple insurance claims denials, Richard couldn’t wait any longer and with the help of the Open Bionics funding success team he launched a GoFund me campaign and raised $10,000 in two weeks for a Hero Arm of his own.

Speak to our Funding Support Team

Michelle lost her arm in a work related incident

Michelle has been wearing multiple prostheses options since her 20s, but found them to be difficult to control and heavy for all day wear. After seeing the Hero Arm, Michelle knew it wasn’t going to be a typical myoelectric “I prayed and prayed that it wouldn’t be like the others, and it wasn’t. It’s so so much better.” Michelle had the costs of the Hero Arm covered by her insurance after proving her ability to control the technology.

What if insurance won’t cover costs of a Hero Arm?

First thing to know is that we on your side and will work with you to help you reach your goal of getting a Hero Arm. Through manufacturing automation and implementation of new materials, we have been able to make savings and pass those back to our customers making the Hero Arm three times cheaper than any other myo on the market.

Speak to our funding success team to find out about our latest grants, donations and funding support available.