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Your union has entered into an agreement with PSS to provide reduced rates for custom orthotic appliances.
The Union currently provides health insurance, HSA, or other third-party benefits that may cover some if not all of your appliances under your Union Benefit Plan. As a result of the preferred provider agreement with PSS, union members and in some benefit plans, their families, will now have the opportunity to receive PSS orthotics from a PSS preferred provider, annually or bi-annually depending on your plan.
The Provider will perform an examination, take a cast impression, and provide a prescription for the orthotics. Depending on your Union agreement, The Provider will charge all applicable office visits, x-rays, and surgical fees directly to the insurance. The Insured will be responsible for the co-pay
Orthotic orders for Union members will be sent exclusively to the PSS lab.
Busy working on a site? A PSS-preferred provider can come to you! Jobsite screenings and castings are by appointment only. Please call to schedule. Members can also receive the orthotic benefit at their yearly Union Health Fair.
If you do not see your organization listed, call us today.
To get fitted for your custom-molded orthotic
The Union agreement requires a voucher. The voucher entitles the patient to be cast for custom molded orthotics and receive one pair of these devices from a conveniently located PSS Preferred Provider. The cost of the voucher is determined by your union or affiliate. After payment is received, a voucher will be sent to the patient. Vouchers may be redeemed in the Preferred Provider office at the time of casting for the orthotics. The patient is responsible for office visit charges and all reasonable and necessary other charges including x-rays and surgery. If the patient has Blue Cross/Blue Shield, Personal Choice, or Medicare, the insurance will be billed by the doctor and accepted by the Insurance company. The patient is responsible for co-pays and deductibles. If the patient has HMO coverage, he can either go to his doctor for an examination and a prescription for orthotics and then visit the PSS Preferred Provider for casting & dispensing of orthotics or, he can pay the PSS Preferred Provider for all services that are not covered by the prepaid voucher. When the orthotics are ready, the patient will go back to Preferred Provider and will be fitted for the orthotics.
The Union agreement requires a voucher. The voucher entitles the patient to be cast for custom molded orthotics and receive one pair of these devices from a conveniently located PSS Preferred Provider. The cost of the voucher is determined by your union or affiliate. After payment is received, a voucher will be sent to the patient. Vouchers may be redeemed in the Preferred Provider office at the time of casting for the orthotics. The patient is responsible for office visit charges and all reasonable and necessary other charges including x-rays and surgery. If the patient has Blue Cross/Blue Shield, Personal Choice, or Medicare, the insurance will be billed by the doctor and accepted by the Insurance company. The patient is responsible for co-pays and deductibles. If the patient has HMO coverage, he can either go to his doctor for an examination and a prescription for orthotics and then visit the PSS Preferred Provider for casting & dispensing of orthotics or, he can pay the PSS Preferred Provider for all services that are not covered by the prepaid voucher. When the orthotics are ready, the patient will go back to Preferred Provider and will be fitted for the orthotics.
A prescription pair of custom molded orthotic appliances, every 24 months (2yrs), will be paid directly to Pro Support Systems (PSS) by the Union benefit plan.
As a result of the preferred provider agreement with PSS, the Union members will now have the opportunity to receive PSS orthotics from a PSS preferred provider and are not responsible for any balance of the cost of the device which includes the impression casting and office visit, except for a $20 co-payment.
Many of our finest Doctors nationwide do not subscribe to HMOs. If the member wishes to care for non-orthotic services, he/she may request this and be responsible for the fee. He/she will be advised that the provider is not enrolled in Keystone although most are in Blue Shield if not all. They can bill for services to Blue Shield that are covered and they must accept assignments as Blue Shield Doctors. It will be the informed choice of the patient. The fund is not responsible or liable for payment or coverage.
No direct or balance billing to patients for orthotics and casting will be allowed.
LDC members with health benefits are eligible for one pair of custom-molded orthotics every two years.
At the appointment, the PSS provider will examine you in his/her office and provide you with a lower-extremity health screening report. Please note that the examination is included with the casting and there is a $20 deductible for LDC members. The PSS provider will send the cast to our lab in Pennsauken, NJ and a second appointment will be scheduled.
On the second visit to the PSS doctor, the orthotics will be dispensed to you. All of this is available and covered by the union except for the aforementioned $20 deductible. There are no office visit charges (additional fees) to be associated with the receipt of the orthotics.
Orthotics are paid through the coverage of the HSA Union-issued credit card. Additional podiatry services and examinations, and office visit charges are billable to Independent Adminstators Coverage also provided by the Union.
The Provider will not, however, charge the insured any fees related to casting for the orthotics and the orthotics. No direct or balance billing to patients for orthotics and casting will be allowed.
At the appointment, the PSS provider will examine you in his/her office and provide you with a lower-extremity health screening report. Please note that the examination is included with the casting. The PSS provider will send the cast to our lab in Pennsauken, NJ and a second appointment will be scheduled.
On the second visit to the PSS doctor, the orthotics will be dispensed to you. All of this is available and covered by the union except for the aforementioned $20 deductible. There are no office visit charges (additional fees) to be associated with the receipt of the orthotics.
Pro Support Systems (PSS) serves as the preferred provider of Orthotics for all members and their families.
Billing to patients for orthotics and casting will be made at the time of foot molding and reimbursement by the union will compensate the patient at the union rate.
Billing to patients for orthotics and casting will be made at the time of foot molding and reimbursement by the union will compensate the patient at the union rate.
The preferred provider agreement between Pro Support Systems, Inc. and the Firemen & Oilers of Phila. Local 1201 provides for all members and their families to receive comprehensive health care coverage for orthotic appliances as determined to be medically necessary.
A prescription for one pair of custom molded orthotic appliances per year will be paid directly to Pro Support Systems (PSS) by the Union benefit plan.
The Union currently provides Empire Blue Cross/Blue Shield for medical coverage in all cases. As a result of the preferred provider agreement with PSS, the Union members and their families will now have the opportunity to receive PSS orthotics from a PSS preferred provider and are not responsible for any balance for the cost of either the device or the casting.
The Provider will perform an examination, take a cast impression and provide a prescription for the orthotics. The Provider will charge insurance for all applicable office visits, x-ray, and surgical fees directly to Blue Shield. The insured will be responsible for the co-pay on these services. The Provider will not, however, charge the insured any fees related to casting for the orthotics and the orthotics. The Doctor will be expected as part of his reimbursement for office visit services from Blue Shield, to make every attempt to fit and dispense the orthotics in a timely and professional manner. Orthotic orders for Union members will be sent exclusively to the PSS lab. No direct or balance billing to patients for orthotics and casting will be allowed.
The Union agreement requires a voucher. The voucher entitles the patient to be cast for custom molded orthotics and receive one pair of these devices from a conveniently located PSS Preferred Provider. The cost of the voucher is determined by your union or affiliate. After payment is received, a voucher will be sent to the patient. Vouchers may be redeemed in the Preferred Provider office at the time of casting for the orthotics. The patient is responsible for office visit charges and all reasonable and necessary other charges including x-rays and surgery. If the patient has Blue Cross/Blue Shield, Personal Choice, or Medicare, the insurance will be billed by the doctor and accepted by the Insurance company. The patient is responsible for co-pays and deductibles. If the patient has HMO coverage, he can either go to his doctor for an examination and a prescription for orthotics and then visit the PSS Preferred Provider for casting & dispensing of orthotics or, he can pay the PSS Preferred Provider for all services that are not covered by the prepaid voucher. When the orthotics are ready, the patient will go back to Preferred Provider and will be fitted for the orthotics.
