My insurance (Cigna) covered my custom orthotics. I even got a second pair the next year and those were covered too. The one issue I have run into is finding a pair of cycling shoes that allow for a higher volume (high, not wide) due to the orthotics. The orthotics effectively elevate my mid foot due to a bump in the orthotic which is meant to take pressure off the pads of my feet and place it more at my mid foot and arch. This higher volume foot set up then creates pressure on the top of my foot from the upper last of my cycling shoe (S Works 7 road shoe). I’m still working on finding the right shoe to accommodate this…