L3217 Insurance Policy Changes

MA05.012c, Orthopedic Footwear

Independence Blue Cross reissued MA05.012c on 03/04/2026 to reaffirm its continuing position on orthopedic footwear coverage for New Jersey Medicare Advantage members. The policy maintains existing coverage criteria for prosthetic shoes (L3250) and footwear integral to covered leg braces, while explicitly excluding matching shoes, separately billed shoes, shoes over prostheses, pressure off-loading devices (A9283), and specific orthopedic shoe codes (L3215-L3222). No substantive changes to coverage rules were made; this is a routine annual reissue.