We provide orthopedic, post-op, spinal, back, hip, knee, elbow, hand, ankle, foot orthosis, AFO’s, custom orthotics, toe fillers and amputation orthotics. We also do splints for contraction management.
What Diabetic Shoes Will Medicare Cover
Medicare allows one pair of extra-depth shoes per the calendar year, for qualified patients. Also, Medicare covers three pairs of inserts each calendar year.
Medicare covers diabetic shoes and inserts when the doctor opts into Medicare. If the doctor or supplier submitting the claims doesn’t accept Medicare, then Medicare won’t pay the claims. Doctors and suppliers must meet certain guidelines to enroll in Medicare.
Why are Diabetic Shoes Important
Many diabetics suffer from diabetic neuropathy, this nerve damage can make feet susceptible to injuries in a few different ways.
According to the National Institute of Health:
- Injuries can take longer to heal when there is a restriction of blood flow
- Limbs can loose sensation, this makes it more difficult to detect an injury
- Some may loose feeling in their feet, and an unnoticed injury can lead to an infection
Most insurance follow Medicare guide lines.
According to the Center for Disease Control, comprehensive foot care programs can reduce diabetic foot amputations by as much as 85%!
What is the Therapeutic Shoe Bill (TSB)
The TSB or diabetic shoe benefit was passed by Congress in May 1993. Ever since the bill was passed, Part B (Medical Insurance) provides reimbursement on therapeutic shoes, inserts, and modification for beneficiaries that have diabetes and meet specific eligibility requirements.
You might be eligible for diabetic shoes if you have Part B, diabetes, necessary documentation from a qualified physician, and you have at least one of the following:
- Amputation of all or part of either foot
- Foot deformity
- Poor blood circulation
- History of ulcers
- History of pre-ulcerative calluses
- Diabetic neuropathy with evidence of callus formation