As a Class I medical device intended to be customized by a qualified clinician, TheraTogs are not available over-the-counter but are available for purchase through a doctor’s prescription to an orthotist or DME (pre-authorization may be required).
Most reimbursement for TheraTogs is provided by state Medicaid programs, Early Intervention programs, or private health insurance companies. Depending on your state, TheraTogs may be classified as a miscellaneous orthotic (with orders placed by O&P Providers) or a miscellaneous medical device (with orders placed through DME (U.S. Providers).
You can download this information here.
International orders click here.
Clinicians and clinics in the US may order from the catalog distributors that carry our products.
If you’re supporting a caregiver’s cash-pay purchase, you can assist them with an order from the list above, or help them place an order by through their participation in our Research Partner Program (see information below).
NOTE: Clinicians may need to generate an LMN (Letter of Medical Necessity) or otherwise support the doctor’s decision and the reimbursement claim. Sample LMN letter
If you are seeking reimbursement or cost coverage for your TheraTogs system, work with your therapist or rehab clinician to make the purchase through an authorized O&P Provider or DME facility (depending on the requirements of the payor agency). If you want to purchase your TheraTogs system directly (or file a reimbursement claim after purchase), you have two options:
O&P clinics and DME facilities can order our products directly from TheraTogs.
Contact us at firstname.lastname@example.org or (888) 634-0495 for information on sizing, ordering, and pricing.
Our Find a Provider locator helps referring clinicians and caregivers find O&P/DME facilities familiar with TheraTogs. If you would like to be listed, contact us.
TheraTogs are funded or provided by a number of state Medicaid and Early Intervention programs, as well as charities, non-profits, and service organizations. Please contact Sylva Hamilton, our Business Manager, to set up your account. You can reach Sylva at accounts@TheraTogs.com • (970) 239-0098.
Many third-party payors and state Medicaid agencies will pay for TheraTogs if they are requested properly “through the system” as defined by that payor.
In most of those cases, the TheraTogs system must be ordered through an O&P (orthotic and prosthetic) provider or a DME (durable medical equipment) facility by TheraTogs product code. The provider will then submit an insurance funding request that includes a doctor’s prescription plus a firm, persuasive and specific LMN letter that’s been written by the client’s physician or therapist. The funding request must indicate the appropriate HCPCS billing code.
We have Authorized TheraTogs Providers all over the country who are experienced with dispensing and filing reimbursement claims for TheraTogs. Visit our Provider Locator to find the provider closest to your location.
Prescription requirements vary by state and by payor, but your provider of choice will likely know the requirements. If they need more information, have them contact Lee Taylor at email@example.com.
Note: By reporting reimbursement results that have been voluntarily provided by our customers, we are not recommending any specific codes or providing reimbursement application advice. Your use of this information is at your own discretion and risk, and is your own responsibility. TheraTogs, Inc. makes no express or implied warranties or promises that any of the information provided herein will result in full or partial reimbursement by any agency or third-party payor, and TheraTogs, Inc. shall not be liable or responsible for any consequences or damages of any kind arising from your use of the information.
TheraTogs’ Research Partner Program gives caregivers the opportunity to work through a clinician and purchase TheraTogs rehab systems directly from Progressive GaitWays, our research and training partner, on condition of providing anonymous patient and clinical outcomes data.
As an incentive for submitting the follow-up data, Progressive GaitWays offers a 30% rebate on the purchase price when the outcomes data requirements are met. The program collects the data regardless of the nature of the outcomes or findings – good, bad, or inconclusive.
This program, now in its ninth year, has allowed over 1,000 clients to gain improved outcomes from TheraTogs while providing valuable research data used to support reimbursement claims, product design, and additional TheraTogs product development.
The Research Partner Program is only available in the United States. For more information click this link (takes you to the Progressive GaitWays website).
You can buy Replacement Parts for any TheraTogs system by filling in the part selection form and submitting proof-of-purchase. Otherwise, we do not sell individual TheraTogs parts for independent use unrelated to a TheraTogs system.
TheraTogs are FDA-registered as a Class I medical device, and as such must be used under the supervision of a clinician. They can provide significant biomechanical change with long-term effects, and should only be configured by a trained clinician in response to the wearer’s specific needs.
TheraTogs systems are defined and reimbursed in numerous jurisdictions as full orthotic garment systems. Reimbursement is not generally offered for individual parts.