Health Net covers orthotic and prosthetic devices and services that are medically necessary and prescribed by physician, podiatrist, dentist, or non-physician medical provider. They include implanted hearing devices, breast prosthesis/mastectomy bras, compression burn garments, and prosthetics to restore function or replace a body part, or to support a weakened or deformed body part.

Orthotic services are not available through Health Net's preferred DME provider (Apria). They may be obtained through prosthetic and orthotic providers, such as Linkia, LLC.

The following information applies only to participating physician groups (PPGs), physicians and ancillary providers.

Durable medical equipment (DME) is a covered benefit on most health plans. Additional non-covered items are:

• Comfort, convenience, or luxury equipment, features, and supplies, except retail-grade breast pumps as described in this chapter under “Breast pumps and supplies” in “Maternity and newborn care”

• Items not intended to maintain normal activities of daily living, such as exercise equipment including devices intended to provide more support for recreational or sports activities
• Hygiene equipment, except when medically necessary for a member under age 21
• Nonmedical items such as sauna baths or elevators
• Modifications to your home or car
• Devices for testing blood or other body substances (diabetes blood glucose monitors, continuous glucose monitors, test strips, and lancets are covered by Medi-Cal Rx)
• Electronic monitors of the heart or lungs except infant apnea monitors
• Repair or replacement of equipment due to loss, theft, or misuse, except when medically necessary for a member under age 21
• Other items not generally used mainly for health care