Frequently Asked Questions
"How much does 'an arm and a leg' really cost?
A lower extremity prosthesis (leg) can range in cost from $5,000.00 to $50,000. An upper extremity device (arm) can range from $3,000.00 to $30,000. Why the difference and why not just give everyone the less expensive variation?
Cost does not define medical appropriateness.
An amputee's residuum, age, daily activities, profession and certain health factors determine the specific materials and technologies used for each custom manufactured device. A prosthetic device can be body powered or computerized, made of aluminum, stainless steel, titanium, plastics or carbon composites. A prosthetic is device is made up of moving parts. Parts wear down; interfaces need replacement. Humans grow, gain or loose weight, change in shape. All of these factors contribute to need and cost." (Turner, 2009)
"Why would I use a prosthesis?
A prosthesis is simply a tool. It is an artificial replacement for a missing limb or part of a limb that can help you regain independence after your amputation. Choosing to use one, or not, depends on your personal goals. The best prosthesis is one that will help you reach your goals. Some important things to ask yourself are:
- What do you want to be able to do with the prosthesis?
- What activities do you plan to do?
- Do you want to walk or run?
- Do you care about the way it looks?
Will I need to use a wheelchair or crutches?
Some amputees find a wheelchair or crutches to be helpful in reaching their goals. The type of assistive device you use is your choice. You should use the device that will help you live the life you want to live. This may mean using a wheelchair or crutches for some activities. Many amputees have a wheelchair or pair of crutches that they use at least part of the time. They may use them for nighttime trips to the bathroom, showering, traveling long distances, or if problems arise that require leaving the prosthesis off for a period of time. This is an individual decision, based on your needs and comfort level.
How much will a prosthesis cost? How can I pay for it?
A prosthesis can range widely in price, depending on your amputation level and the type of device you are looking for. Typically, your prosthetic device will be partially covered by your insurance plan. Some insurance plans may even cover the entire cost of the device. You will need to work closely with your insurance company to understand the types of devices and services that will be covered under your policy. Be prepared to make several phone calls, provide documentation and be your own advocate. Check that your policy includes prosthetic coverage. Know the limitations and exclusions in your policy. It is important to know that working with your prosthetist on fit and alignment of your prosthesis should be bundled with the total cost of your device. Your prosthetist should continue to work with you until you reach a comfortable fit and alignment.
The Amputee Coalition has created an Insurance Coverage and Reimbursement Guide to help you figure out common insurance questions. Contact the Amputee Coalition’s National Limb Loss Resource Center at 888/267-5669 to get a copy. If you find yourself in need of help in paying for a prosthesis, you can find out more about funding options by reading the Financial Assistance for Prosthetic Services, Durable Medical Equipment, and Other Assistive Devices fact sheet.
How long will my prosthesis last?
Depending on your age, activity level and growth, the prosthesis can last anywhere from several months to several years. In the early stages after limb loss, many changes occur in the residual limb that can lead to shrinking of the limb. This may require socket changes, liners, or even a different device. Increased activity level and a desire to do more activities can create a need for a change in the prosthesis or its parts. Once you are comfortable with the fit of your device, the prosthesis needs only minor repairs or maintenance and can last an average of three years. Your prosthesis should be regularly checked by your prosthetist to avoid any major problems.
Is it difficult to learn to use a prosthesis?
Learning to use a prosthesis is a tough job. It takes time, effort, strength, patience and determination. Your prosthetist should give you some training on using your prosthesis. Many people find it helpful to work with a physical therapist who is familiar with amputees. Much like learning how to operate a car, there is a lot to learn at the beginning. It will become second nature with practice. Your prosthetist should teach you how to:
- Take care of the prosthesis
- Put on (don) and take off (doff) the prosthesis
- Walk on different types of surfaces, including stairs and uneven surfaces.
- Handle emergencies safely, including falling down and getting up again
- Perform daily activities at home, work and in a car
- Improve your gait to help you walk better
- Try out new things you may be unsure about, including sports and other recreational activities."
(Amputee Coalition, 2015)