I have been using Hanger for over 10years, both in Southern California, and now in Portland, Oregon. They have been in business for well over 100 years and they are the leaders in Orthotics and Prosthetist. They do take insurance, but if needed, you can pay out of pocket, but you need to discuss that with them. This is the only place I will go for my feet. Over the counter just does not work for me, and my feet deserve the best product, but also a professional who does this as a full time occupation. Lastly, you will need a prescription from your podiatrist too.