Medicare policy on prosthetics payments draws criticism from amputees

Ann Morris had lost her legs to diabetes, but she stood again after receiving prosthetic legs. Morris was outside the US Department of Health and Human Services on Wednesday to make a point.

She is worried that amputees will lose access to prosthetic limbs die to the newly proposed restrictions on Medicare payments for prosthetics. She says that Medicare will not release payments now for the artificial legs best suited for her body.

According to Morris, Medicare's current coverage policy has been built upon the belief "why pay for an Audi when a Hyundai will work".

Medicare's latest proposal is highly likely to limit why pay for an Audi when a Hyundai will work, fear Morris and roughly 100 other protesters gathered in front of the Hubert Humphrey office building.

Medicare is looking forward to revise coverage for definitive prosthetic components. The proposed rule also requires a medical exam to be conducted by a doctor or health professional other than a prosthetics expert to determine functionality. Moreover, the rules require amputees to participate in a rehabilitation program before they are provided a definitive prosthesis and limit Medicare payments for certain adjustments to prosthetics.

"I've heard from a number of constituents, along with patient groups, that have raised serious concerns regarding this proposed CMS policy, said Rep. Erik Paulsen, R.-Minn. Paulsen added that the rule would restrict benefits for amputees and will certainly cause damage to prosthetic care.

Teri Kuffel, part owner of Arise Orthotics and Prosthetics in Blaine, says the recommendations of prosthetists have been shown disregard by the rules.