Ordering by Prepayment

We use California MediCare pricing for all of our custom orthotics. Every order will be assessed a delivery/handling charge.  Our invoices will have a procedural breakdown for each orthosis for insurance reimbursement purposes. When seeking reimbursement, the patient can submit our invoice marked “paid” coupled with the prescription for the orthosis to their insurance company.  The patient’s diagnosis needs to be on the doctor’s prescription.  In some instances, insurance companies may request that a Letter of Medical Necessity be provided, and this should be provided by a Physician. We cannot guarantee insurance reimbursement on any items due to the differences in individual policies and circumstances. You may wish to consult with your insurance provider prior to ordering.
 
There are also a few optional items that may not be reimbursed through insurance. For this reason, we have kept these items at a minimal cost.  In addition, insurance companies generally do not reimburse for casting, fitting, delivery, or shipping costs.

To view a sample prescription form click here 

To view a sample prescription form for the PRO click here
 
For Upper Extremity Orthotics

• Once we receive the completed Upper Extremity Measurement Form, the completed Patient Information Sheet and a copy of the prescription with the diagnosis on it, a price can be determined for an order. We will notify the billing party (patient/therapist/facility) of the total price, including delivery and handling charges, within two business days.
• Once we receive payment the brace will then be shipped to the therapist within 8 business days.
• Upon delivery, the therapist must do the fitting.

Perfect Response Orthotic® and PRO KAFO

• We must receive the completed Patient Information Sheet, video of the patient walking, and a copy of the patient’s prescription with the diagnosis on it, before we can process an order.  Once all items have been received via email, fax or mail, a price can be determined for an order.  We will notify the billing party (patient/therapist/facility) of the total price, including delivery and handling charges, within two business days.
• A cast will then need to be taken of the patient and sent to us via mail along with the payment in the form of a check or credit card payment.
• The brace will then be shipped to the therapist within 8 business days.
• Upon delivery, the therapist must do the fitting.

PRO Insole™

• We must receive the completed Patient Information Sheet, and a copy of the prescription with the diagnosis on it, before we can process an order.  Once all items have been received via email, fax or mail, a price can be determined for an order.  We will notify the billing party (patient/therapist/facility) of the total price, including delivery and handling charges, within two business days.
• If ordering the PRO Insole™ at the same time you are ordering the Perfect Response Orthotic® or within 3 months of ordering the Perfect Response Orthotic® a cast does not need to be taken.  If ordering the PRO Insole™ after 6 months of ordering the Perfect Response Orthotic® or if the patient never ordered the Perfect Response Orthotic® then a cast will then need to be taken of the patient and sent to us via mail along with the payment in the form of a check or credit card payment.
• The brace will then be shipped to the therapist within 8 business days.

• Upon delivery, the therapist must do the fitting.

Other custom Orthosis

• Once we receive the completed Patient Information Sheet and a copy of the prescription with the diagnosis on it, a price can be determined for an order. We will notify the billing party (patient/therapist/facility) of the total price, including delivery and handling charges, within two business days.
• Once we receive payment the brace will then be shipped to the therapist within 8 business days.
• Upon delivery, the therapist must do the fitting.

We will not begin fabrication until we receive payment in full or a P.O. number.  A personal check, cashier’s check or money order made payable to KineMedic Concepts, Inc. is acceptable.  You can also pay by credit card.  Purchase Orders can be arranged through a hospital/facility.  The hospital/facility can contact our office for information.

Payment

• If paying by check please send payment to:

KineMedic Concepts, Inc.

P.O. Box 3220

Blue Jay, CA 92317

• If paying by credit card please complete the Credit Card Order Form and return it by fax, email, or mail.

Note: Any mail sent to us using the U.S. Postal Service can be mailed to our PO Box.  If using any other mailing service (such as UPS or FedEx) please call us for a physical address.