Medicare's Therapeutic Shoe Bill

| Jan 1, 2000

Are you eligible?

You must have one or more of the following:

  • Peripheral neuropathy and callus formation.
  • History of pre-ulceration or ulcers with callus formation.
  • Significant foot deformity.
  • Previous amputation of a foot or part of a foot.
  • Impaired circulation.

What are covered?

  • Custom-molded shoes
  • Extra-depth shoes
  • Inserts
  • Shoe modifications

Limited to the following in one calendar year:

  • One pair of custom-molded shoes with inserts and two additional pairs of inserts or,
  • One pair of extra-depth shoes and three pairs of inserts.
  • Modifications of shoes can be substituted for a pair of inserts.

Who can furnish therapeutic shoes?

Shoes must be fitted and furnished by a podiatrist, orthotist or prosthetist. These persons must be registered with Medicare.

These specialists will fill out the appropriate prescription after the physician has completed the Certification Statement.

Certification for coverage

Special shoes must be certified by a physician who is responsible for treating the person with diabetes.

Payment and Reimbursement

The shoe supplier will file the appropriate claim form to Medicare. Payment is made directly to the supplier or to the patient.

Reimbursement is limited to 80 percent of the reasonable charge and there is a maximum amount that Medicare will reimburse.

Click Here To View Or Post Comments

Categories: Diabetes, Foot Care, Health Insurance

Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12th Annual Product Reference Guide
  • Insulin Syringe Chart
  • Insulin Pen Needles Chart
  • Fast-Acting Glucose
  • Sharps Disposal
  • Blood Glucose Meters Chart
  • Insulin Pumps Chart
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter

Top Rated
Print | Email | Share | Comments (0)

You May Also Be Interested In...

Click Here To View Or Post Comments

Comments 0 comments - Jan 1, 2000

©1991-2015 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.