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Step Forward has been established
in USA since 1974. Step Forward Orthotics are still made only in USA, and exported to many countries around the world. This web-site is for Australia. For other countries, go to our international page. |
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HEALTH INSURANCE |
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Health Insurance & Compensation
Step Forward Orthotics are a medical device with enormous benefits. Although they have been available in the USA for well over 30 years, they arrived in Australia only in 2004. Most health insurance funds and government departments developed their rules long before they were aware of the Step Forward approach.
Whether or not you can claim a benefit from your health fund or other organisation is a matter between you and them. We suggest you apply for a refund. If they reject your claim then we suggest you write a letter to the Manager of Ancillary Benefits (or equivalent) of your fund or of the agency, asking them to change their policy. Unfortunately, many of these organisations seek their advice only from podiatrists, and close their eyes to alternative methodologies.
Step Forward Orthotics is the Australian office for Step Forward Co in the USA. We are the manufacturer and we supply and train the doctors, chiropractors, therapists, etc. When you buy from us, you are buying direct from the manufacturer. As such we have not been issued a 'provider number' by most health insurance funds or agencies.
However, even if you cannot get any compensation or refund, be aware that Step Forward Orthotics work out to only about $25 per year over their typical life.
Health Insurance Funds
The following information is provided to the best of our knowledge, but is subject to confirmation by each fund and subject to change. Please note that benefits also depend upon your level of cover and any previous claims. This information was updated on 14 July 2010.
= Recommended.
We recommend these funds, since they now
pay reasonable benefits on our orthotics.
= Change Funds.
We recommend you change to
a more understanding and co-operative health insurer.
Please note that health insurance funds offer
portability of benefits
and you are free to take your health cover to a more obliging insurer. Check the
specifics of this with each health fund before transferring, and be sure to get
your ‘clearance certificate’ from the old fund.
ACA Health Benefits Fund
RECOMMENDED
They have not
replied to us in writing, but have confirmed verbally (23/03/09) that they will pay up to
80% (limit $400) provided you have a letter from a doctor.
This is a Restricted Membership Fund. Visit their website for more
information.
Australian Health Management
They have confirmed to us in writing that they will not pay benefits on
Step Forward Orthotics. In 2008, the reason given was that our orthotics are
"made overseas. We do not paid (sic) overseas claim." In 2009, the reason given
was that "orthotics must be custom made". They refused to allow us to meet with
them to put our case.
Australian Unity
RECOMMENDED
They have confirmed to us in writing (17/09/07) that they will pay benefits for Step Forward
Orthotics, provided:
a) your ancillary cover includes orthotics,
b) you have a referral from a registered medical practitioner, chiropractor or
occupational therapist, and
c) the referral is dated before the date of the invoice.
We have been verbally advised (Sep 08) that our Provider Number is 21036902 and
that the referral letter can also be from a physiotherapist or an osteopath.
This is an Open Membership Fund. Visit their website for more information.
BUPA
BUPA, the giant UK-based health fund, now owns
the HBA, Mutual Community, MBF, NRMA, SGIC & SGIO brands of health insurance.
They have confirmed that from 1st July 2010 they will not pay any benefits for
pre-formed orthotics.
We recommend you transfer to an Australian-owned fund.
CBHS Health
Fund
They verbally
advised that they will not pay benefits for our orthotics (24/03/09).
Cessnock District Health Benefits
Fund
They have verbally
advised that they will not pay benefits for our orthotics (24/03/09).
CUA Health
They have verbally
advised that they will not pay benefits for our orthotics (24/03/09).
CY Health
Refer to HBF Group
Defence Health
They have verbally
advised (24/03/09) that they will not pay benefits on our orthotics, although several
customers have reported receiving a rebate.
Doctors’ Health Fund
RECOMMENDED
They have not replied to us in writing, but have confirmed verbally that they
will pay up to 50%. A referral letter is not required.
This is a Restricted Membership Fund. Visit their website for more
information.
GMF Health (formerly Goldfields Medical Fund)
Refer to HBF Group
GMHBA
They have confirmed
to us in writing that they will not pay benefits for our orthotics. They will
pay benefits for orthotics only if they are provided by a podiatrist or an
orthotist. They will not pay a benefit even if they are provided by a
chiropractor, physiotherapist, osteopath or a surgeon.
HBA
See BUPA above.
Healthguard
Refer to HBF Group above.
LaTrobe
They have not replied
to us in writing, but we understand they pay benefits only for orthotics
provided by a podiatrist.
Manchester Unity
See HCF.
MBF
See BUPA above.
Mildura District
Hospital Fund
They have confirmed to
us verbally that they will pay benefits providing you have a letter from your
doctor. However, the benefit is only $60 per pair.
Mutual Community
See BUPA above.
Navy Health
We have no information
about this fund, but it appears they pay benefits only for custom-made orthotics.
NIB
RECOMMENDED
They have advised verbally
(29/04/10) that they will pay a rebate on
our orthotics (effective from 01 April 2010). The amount depends on your cover.
Our provider number is 10091226.
We have not been advised if a letter from a medical practitioner is required.
NRMA
See BUPA above.
OneMediFund
See Peoplecare below.
Peoplecare
They confirmed in writing
(26/05/10) that they will not pay a benefit for
our orthotics.
Phoenix Health Fund
We have no information
about this fund.
Police Health
We have no information
about this fund.
Queensland Country
Health
They advised
verbally (13/08/08) that they will not pay a benefit for our orthotics.
Reserve Bank Health
Society
They advised
verbally (30/04/10) that they will not pay benefits for our orthotics unless
provided by a chiropractor.
RT Health
We have no information
about this fund but believe they will not pay benefits on our orthotics.
St Lukes
They have advised verbally
(30/04/10) that they will pay a rebate on
our orthotics (effective from 01 May 2010). The amount (up to $200) depends on your cover.
A referral from a medical practitioner is NOT required. Our provider number is
TBA.
SGIC & SGIO
See BUPA above.
Teachers Federation Health Fund
RECOMMENDED
They have not replied to us in writing. They have verbally informed us that:
They will pay a benefit of up to $200 per pair provided you have a letter from a
doctor (with the doctor’s provider number). There is no item number.
Do not confuse Teachers Federation Health Fund (based in Sydney) with Teachers
Union Health (based in Brisbane).
Teachers Union Health
We have no information
about this fund but believe they will not pay benefits on our orthotics.
Do not confuse Teachers Union Health (based in Brisbane) with Teachers
Federation Health Fund (based in Sydney).
Transport Health
We have no information
about this fund. Their web-site indicates they do pay a benefit for orthotics,
but we don't know if there are any restrictions or conditions.
Westfund
They advised (03/05/10) that they will not pay benefits for our orthotics
or any other pre-formed orthotics. They refused our request for a meeting. It is
our understanding they are owned by HBF of Western Australia.
Government Agencies
WA - Department of Health
A pair was requested by a hospital
podiatrist, resulting in an official purchase order being raised by the
Department of Health (02/09/09).
Other Sources
Employers
We have a growing number of
employers who have purchased Step Forward Orthotics for their employees, as they
recognise this not only as a benefit to the employee but also to the
productivity and morale of their work force. Reduction of lost days alone make
this an attractive program. We recommend you approach your employer with such a
request.
Social &
Community Groups
We can make an interesting and
educational presentation to your group, followed by a personal fitting and test
walk on our orthotics. This can be structured as a fund-raiser that benefits not
just the individuals but also the entire group. It is suitable for Social clubs
(office, church, factory, etc), community groups (Rotary, Lions, Probus, etc),
institutions (schools, kindergartens, retirement villages, military, etc),
sports clubs (football, gymnasiums, tennis, cricket, athletics, etc) and private
groups (neighbourhood walking clubs, etc). Contact our national office on
Freecall 1800 000 566 for further information.
Salvation Army
We understand that the Salvation
Army has paid for Step Forward Orthotics to assist certain individuals involved
in their work placement program. This is similar to them paying for work boots
and other aids. However, we don’t have any documentary evidence of this yet, nor
do we suggest you have any expectations in this area.