Our guide to orthopaedic shoes and orthotics

We show you what you can and can’t claim on your extras.

Orthopaedic shoes vs orthotics

Orthopaedic shoes are customised to someone’s feet whereas orthotics are the slip-in inserts into regular shoes.

Who can treat foot problems?

Podiatrists are the foot specialists. They can diagnose and treat foot conditions as well as sort out foot injuries and infections.1

You don’t need a GP referral to see a podiatrist but if your foot problems are linked to a chronic health condition such as diabetes or arthritis, your GP could get you podiatry covered by Medicare under a chronic disease management plan.2

You can also get orthotics prescribed from a whole range of other health professionals such as a chiropractor, physiotherapist, bio mechanist, pedorthist and orthotist.

Benefits for podiatry

This benefit is paid from the Podiatry category.

Extras cover

Initial consult

Subsequent consults

Limit per person

Limit per family 

Premium Extras

$50

$40

$500 

$1,000

High Extras

$45

$35

$400

$800

Mid Extras

$40

$30

$200

$400

Simple Extras

N/A

N/A

N/A

N/A

Details:

  • 2-month waiting period for podiatry
  • limits reset every financial year
  • only one initial consultation can be claimed per financial year

1podiatry.org.au
2healthdirect.gov.au/podiatrist

Types of orthotics and why they matter

We’ve all seen those cheap off the shelf inserts you can find at your local supermarket or chemist. Those are one type and the other is custom orthotics, which can either be custom made or heat moulded.

Orthotics

Peoplecare benefit*

Custom made or heat moulded

Yes

Off the shelf

No

* On some Peoplecare extras covers. See below.

Orthotics must be prescribed by a podiatrist, chiropractor, physiotherapist, bio mechanist, pedorthist or orthotist for us to pay on them.

Benefits for custom & heat moulded orthotics and orthopaedic shoes

These benefits are paid from the Health Aids & Wellness category.

Extras cover Orthotics Orthopaedic shoes Limit per person Limit per family
Premium Extras 80% up to $200 80% $700 $1,400
High Extras 70% up to $150 70% $500 $1,000
Mid Extras N/A N/A N/A N/A
Simple Extras N/A N/A N/A N/A

Details:

  • 2-month waiting period for Health Aids & Wellness
  • claim limit of 1 pair of orthotics every two financial years
  • orthotics and orthopaedic must be prescribed and customised (we don’t pay on off-the-shelf products)

How to claim orthopaedic shoes and orthotics

1. Get a receipt with the following details

  • Patient name
  • Item details
  • Date the item was received
  • Price
  • Provider name and registration details

2. Submit your receipt to claim

There are a number of ways to submit your receipt. Our page on extras claiming shows you how (see ‘How to make an extras claim’ 2 to 5 here).

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