Cedar City Woman Fights To Have Prosthetic Foot Covered By Insurance

Apr 30, 2019, 10:37 PM | Updated: May 1, 2019, 5:27 pm

CEDAR CITY, Utah — Heidi Decker’s leg was amputated due to complications from diabetes. Her solution: a prosthetic leg and foot.

“Seven years ago I broke my foot and it never healed correctly,” Decker said. “I got a prosthetic but it left me in pain. I was walking with what I called a brick foot because, there is no flexion.”

Utah Prosthetics and Orthotics offered a solution by creating Decker a custom foot.

“I thought okay I want to get her in a foot that will actually allow her to do everything that she really wants to do,” said Matt Bracken, Certified Prosthetist Orthotist and owner of Utah Prosthetics and Orthotics.

Bracken said his company received pre-approval from Decker’s insurance company, Aetna, to make her the custom foot but when the insurance payment came it was way less than what he was expecting.

“It ended up not paying for the prosthetic foot, which was my cost over $4,000,” he said.

Decker said she signed up for an 80/20 insurance plan which is why she was shocked when the payment came. She called her insurance company to see what she could do to resolve the issue.

“They said they’ve paid all they are going to and I’m stuck with the rest,” Decker said.

Utah Prosthetics and Orthotics decided to let her keep it and to take the costs on themselves until they get this resolved with her insurance.

KSL reached out to Aetna. The company said they could not discuss Decker’s case due to privacy laws.

In an email, the company offered this explanation:

Ms. Decker has a plan which has a $5,500 deductible. All members have to meet their deductibles before Aetna covers the claim. For Ms. Decker’s specific plan, prosthetics are covered at 75% by Aetna after the deductible has been met. After Ms. Decker met her $5,500 deductible and her 25% coinsurance responsibility on these claims, Aetna paid out $1,834 for her prosthetic device in accordance with the member’s plan.

Once the Executive Response Team has time to research the issue and make a determination of what happened, they may reach out to the member directly.


KSL 5 TV Live

Top Stories

Local News

These ballots that have been processed must be kept for two years. (KSL TV)...
Daniella Rivera and Cindy St. Clair

KSL Investigation finds few cases of election crimes prosecuted in Utah 

Nearly one in five Utahns polled believe midterm elections won’t be fair and accurate. As election officials seek to restore voter confidence, KSL Investigator Daniella Rivera went looking for the facts of election crimes in Utah.  
1 day ago
FILE - A rock formation in Arches National Park in the Devil's Garden area (Larry D. Curtis, KSL TV...
Larry D. Curtis

Person recovered at Arches National Park identified as Virginia woman

A dead woman recovered from Arches National Park on Sunday, Oct. 1 has been identified as Yaroslavna Ksenjek, from Arlington, Virgina.
1 day ago
Eliza Pace

‘Non-credible’ threat deters plane at SLC airport

A plane was landed away from the terminal and searched by dogs after a threat had been discovered on board. 
1 day ago
Eliza Pace

Five-year-old in critical condition after being hit by truck

A five-year-old is in critical condition after they were hit by a truck while riding their bike.
1 day ago
Shelby Lofton

Cottonwood Heights group says chipseal is dangerous, ineffective

Some cyclists and drivers said a form of road surface treatment makes their roads bumpy and dangerous.
1 day ago
A homeless-family crisis is emerging in Utah before the winter of 2022. (Lauren Steinbrecher/KSL TV...
Lauren Steinbrecher

Homeless families in Utah reaching ‘crisis,’ as advocates push for solutions

A crisis is emerging over an increase in homeless families in Utah. A local organization and a lawmaker are hope leaders can come together to find solutions before winter sets in.
1 day ago

Sponsored Articles

Hand turning a thermostat knob to increase savings by decreasing energy consumption. Composite imag...
Lighting Design

5 Lighting Tips to Save Energy and Money in Your Home

Advances in lighting technology make it easier to use smart features to cut costs. Read for tips to save energy by using different lighting strategies in your home.
Portrait of smiling practitioner with multi-ethnic senior people...
Summit Vista

How retirement communities help with healthy aging

There are many benefits that retirement communities contribute to healthy aging. Learn more about how it can enhance your life, or the life of your loved ones.
Happy diverse college or university students are having fun on their graduation day...
BYU MBA at the Marriott School of Business

How to choose what MBA program is right for you: Ask these questions before you apply!

Wondering what MBA program is right for you? Take this quiz before you apply to see if it will help you meet your goals.
Cloud storage technology with 3d rendering drawer with files in cloud...
PC Laptops

How backing up your computer can help you relieve stress

Don't wait for something bad to happen before backing up your computer. Learn how to protect your data before disaster strikes.
young woman with stickers on laptop computer...
Les Olson

7 ways print marketing materials can boost your business

Custom print marketing materials are a great way to leave an impression on clients or customers. Read for a few ideas to spread the word about your product or company.
young woman throwing clothes to organize a walk in closet...
Lighting Design

How to organize your walk-in closet | 7 easy tips to streamline your storage today

Read our tips to learn how to organize your walk-in closet for more storage space. These seven easy tips can help you get the most out of your space.
Cedar City Woman Fights To Have Prosthetic Foot Covered By Insurance