An Explanation of Benefits:

Nearly 30 million Americans have diabetes, according to the Center for Disease Control. In fact, studies suggest prescription diabetic footwear can help prevent serious foot health complications that can arise because of diabetes. 

Medicare and supplemental insurance may reimburse part or all the cost of Dr. Comfort shoes and prescription inserts for diabetics who meet certain criteria. A qualified health professional can determine if eligible. If diabetic or have any foot health concerns, we strongly encourage the patient to see a foot health professional to address all foot health needs.

 

Medicare’s Diabetic Shoe Benefit:

In May 1993, Congress passed the Therapeutic Shoe Bill (TSB). Since then, Medicare Part B  (Medical Insurance) provides reimbursement of therapeutic shoes, inserts, and modifications for those living with diabetes who meet specified qualifying requirements.

 

Who’s Eligible for Diabetic Shoes?

Coverage is for anyone with Medicare Part B (or other qualified insurance) who has diabetes, has appropriate documentation from a qualified physician, and:

• Previous amputation of the foot, or part of either foot, or

• History of ulcers, or

• History of pre-ulcerative calluses, or

• Diabetic Neuropathy with evidence of Callus formation, or

• Foot deformity, or

• Poor blood circulation

 

Consult a qualified expert or Medicare program representative for more details.

 

What’s Covered?

Medicare allows one pair of extra-depth shoes per calendar year. For qualifying patients, Medicare will also cover three pairs of inserts each calendar year. Some shoe modifications are also covered but would replace a pair of inserts.

 

Note: Medicare only covers diabetic shoes and inserts if the doctor is enrolled in Medicare. If not enrolled, Medicare won’t pay the claims submitted by them. Doctors and suppliers must meet guidelines to enroll and stay enrolled in Medicare.

 

Need More Information on Medicare Reimbursement?

We can provide a brochure to take to a Primary Care Physician to see if you’re eligible and get the paperwork started. This pamphlet explains the process with simple instructions and forms the doctor needs to complete. It also has some important facts about diabetes foot health. Give us a call or stop by to talk with our trained technician to discuss options and to get fitted for your new pair of life-saving Dr. Comfort Diabetic Shoes.