Custom Orthotics Cost & Insurance in Markham: What to Know Before You Book
Custom orthotics at Caspian Rehab are $450, all-inclusive. This guide walks through what that covers, what custom orthotics in Markham are for, and what OHIP and private insurance typically cover.
Our Custom Orthotics Price
Custom orthotics at Caspian Rehab are $450, all-inclusive — that covers your biomechanical assessment and gait analysis, custom fabrication, and fitting. It’s a flat rate regardless of whether your device is built for dress shoes, work boots, or athletic footwear, so there are no separate assessment fees or surprise add-ons.
Does OHIP Cover Custom Orthotics?
In most cases, OHIP does not cover the cost of custom foot orthotics. Ontario’s Assistive Devices Program (ADP) provides partial funding, but it’s a narrower program aimed at physical disabilities requiring a brace for six months or longer, and it requires a physician assessment and application before purchase. It isn’t the typical pathway for common concerns like plantar fasciitis or general foot pain. If you think you may qualify, we’re happy to help point you toward the right resources to check.
What About Private or Extended Health Insurance?
Many extended health plans offer partial or full coverage for custom orthotics when prescribed by a qualified provider, though coverage amounts, frequency limits, and pre-approval requirements vary significantly by plan. Insurers typically ask for a few key documents: a prescription confirming medical necessity, an itemized invoice, a biomechanical assessment, and manufacturer documentation confirming the device was custom made. We can help prepare the documentation your insurer is likely to ask for — it’s worth calling your provider directly beforehand to confirm what’s covered.
Booking & Insurance
Custom orthotics at Caspian Rehab are $450, all-inclusive. Your insurance coverage still depends on your specific plan, so at your assessment we’ll walk you through what your insurer is likely to reimburse and what documentation they’ll need. See also how custom orthotics compare to off-the-shelf insoles if you’re still weighing your options.
Frequently Asked Questions
How much should I expect to pay for custom orthotics?
Custom orthotics at Caspian Rehab are $450, all-inclusive — that covers your biomechanical assessment, custom fabrication, and fitting, regardless of footwear type. It’s a flat rate with no separate assessment fee or hidden add-ons.
Does OHIP cover custom orthotics?
For most patients, no. OHIP does not typically cover custom foot orthotics. Ontario’s Assistive Devices Program may help in narrower cases involving a longer-term physical disability, but it isn’t the usual path for common concerns like plantar fasciitis.
Are custom orthotics worth the cost?
That depends on your goals and what’s driving your discomfort. Many patients find custom orthotics helpful as part of a broader plan that may include chiropractic care or physiotherapy, though individual results vary and we can’t guarantee a specific outcome.
Do I need a referral to get custom orthotics in Ontario?
Not always. It typically depends on your insurance plan’s requirements rather than a government rule. Many plans accept a prescription from a chiropractor directly, but it’s worth checking with your insurer before booking.