Hamaspik prosthetics and orthotics coverage
We handle the paperwork. You focus on recovery.
Hamaspik covers custom prosthetics and orthotics—and Orthotics Ltd manages the entire insurance process from start to finish. Prescriptions. Prior authorization. Claims. We take care of it so you can focus on getting back on your feet.
What Hamaspik covers
Prosthetic devices
Hamaspik covers medically necessary prosthetic devices, including:
- Lower limb prosthetics (below knee, above knee, partial foot, hip disarticulation)
- Upper limb prosthetics (below elbow, above elbow, partial hand, shoulder disarticulation)
- Pediatric prosthetics (with coverage for growth-related replacements)
- Bionic and myoelectric prosthetics (when medically necessary)
- Prosthetic socket replacements and adjustments
- Cosmetic covers and sleeves
Orthotic devices
Hamaspik covers custom orthotic devices, including:
- Custom braces (ankle, knee, wrist, elbow, back, neck)
- Compression garments
- Spinal orthotics
- Custom-molded shoes and inserts
- Orthotic repairs and adjustments
Additional covered services
- Initial consultation and evaluation
- Custom fitting and adjustments
- Follow-up care and modifications
- Repairs and replacements (when medically necessary)
How Hamaspik coverage works
Understanding Hamaspik
Hamaspik is a network of health and human services agencies serving the Orthodox Jewish community in New York. Hamaspik works with various Medicaid managed care plans including Fidelis Care, UnitedHealthcare Community Plan, and others to coordinate care for members.
If you’re a Hamaspik member, you have both a health plan and access to Hamaspik’s provider network.
01
Get a prescription
Your physician provides a prescription for the prosthetic or orthotic device. We can help coordinate with your doctor's office if needed.
02
We verify your benefits
We contact your health plan to verify your coverage and confirm what you'll owe out-of-pocket.
03
We submit prior authorization
Your health plan requires prior authorization for prosthetics and orthotics. We handle all documentation and follow up until approved.
04
We create your custom device
Once approved, we scan or cast your limb, create a test socket or device, and work with you until the fit is perfect.
05
We bill your health plan directly
After delivery, we submit claims directly to your health plan. You'll receive an Explanation of Benefits showing what was paid and any remaining balance.
What you'll pay with Hamaspik
Medicaid members
If you have Hamaspik through New York Medicaid (with health plans like Fidelis or UnitedHealthcare Community Plan), prosthetics and orthotics are covered with no copays, deductibles, or out-of-pocket costs.
We tell you what to expect upfront
Before we begin fabrication, we'll provide a clear estimate of your financial responsibility. No surprises.
Why Orthotics Ltd makes Hamaspik coverage easy
We verify benefits before you commit
You'll know exactly what your health plan covers and what you'll owe before we start creating your device.
We handle all prior authorizations
We submit all documentation to your health plan and follow up until authorization is approved.
We bill your health plan directly
You don't submit claims. We handle all billing and follow up on your behalf.
We work with your doctor
We coordinate with your physician's office to ensure we have all necessary prescriptions and medical documentation.
We understand your communityWe understand your community
We work with members of the Orthodox Jewish community and understand the specific needs and considerations.
Helpful Hamaspik resources
Learn about Hamaspik services and programs.
Contact Hamaspik with questions about your care coordination.
Log in to your health plan (Fidelis, UnitedHealthcare, etc.) to check benefits and view claims.
Information for Medicaid members.
Common questions about Hamaspik coverage
Does Hamaspik cover prosthetics and orthotics?
Yes. Hamaspik members have coverage through their health plan (Fidelis, UnitedHealthcare Community Plan, etc.), which covers medically necessary prosthetic and orthotic devices.
Do I need a referral?
Most Hamaspik members are on Medicaid managed care plans that require referrals from your primary care physician. We’ll verify this when we check your benefits.
How long does authorization take?
Prior authorization typically takes 5-10 business days. We follow up with your health plan throughout the process.
Does Hamaspik cover pediatric prosthetics?
Yes. Hamaspik members with Medicaid or Child Health Plus have coverage for pediatric prosthetics, including growth-related replacements.
What if my prosthetic needs repairs?
Your health plan covers medically necessary repairs and adjustments.
Does Hamaspik cover bionic or myoelectric prosthetics?
Yes, when medically necessary and prescribed by your physician.
I have Medicaid through Hamaspik. Will I owe anything?
Most Medicaid members have no out-of-pocket costs for medically necessary prosthetics and orthotics.
Locations serving Hamaspik members
Orthotics Ltd serves Hamaspik members throughout New York.
Our clinic:
Harriman, NY
We also offer:
- Home visits for patients who can’t travel
- Nursing home partnerships
- Emergency prosthetic services
Ready to use your Hamaspik benefits?
