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Diabetic Shoe FAQ

Getting started

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 diabetic 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.

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

Eligibility

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.

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.

More Information

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 for both the patient and doctor with and includes simple instructions and forms the doctor needs to complete. It also has some important facts about diabetes foot health.

Click Here to print brochure/RX Form.

For more information or questions, please call Dahl Medical Supply (612) 334-3159.