The Diabetic Shoe & Diabetic Orthotic Program by Medicare
REQUIREMENTS
A Prescription is REQUIRED and must only be from the following types of physician:
- MD or DO like a Primary Care Physician or Endocrinologist
- Physician’s Assistant (PA)
- Nurse Practitioner (NP)
- Clinical Nurse Specialist (CNS)
- Podiatrist (DPM) - Most common
A Statement of Certifying Physician is also REQUIRED and must only be from the following types of doctor:
- MD or DO like a Primary Care Physician or Endocrinologist
Medicare covers 80%. Your secondary insurance will cover the other 20%.
Typically most other insurance companies follow a similar level of coverage
Medicare Part B (Medical Insurance) covers 80% the furnishing and fitting of either of these each calendar year, if you have diabetes and severe diabetic foot disease:
- One pair of custom-molded shoes
- One pair of extra-depth shoes
Medicare also covers 80% of either of these:
- 3 pairs of inserts each calendar year for custom-molded shoes
- 3 pairs of inserts each calendar year for extra-depth shoes
*Medicare will cover shoe modifications, such as a lift, instead of inserts if shoe modifications are necessary.
We proudly participate in and accept Medicare Assignment.
Medicare will only cover your diabetic shoes if your doctors and pedorthists are enrolled in Medicare. Doctors and pedorthists have to meet strict standards to enroll and stay
enrolled in Medicare. If your doctors or pedorthists aren't enrolled, Medicare won't pay the claims submitted by them. If your pedorthists are participating suppliers, they must
accept Medicare Assignment. If your pedorthists are enrolled in Medicare but aren't "participating," they may choose not to accept Medicare Assignment. If your pedorthists
don't accept Medicare Assignment, there's no limit on the amount they can charge you.
*Medicare does not cover shoes, shoe modifications like lifts, or custom foot orthotics unless you are diabetic and meet certain qualifying conditions or if the shoe, shoe modification, or custom foot orthotic is an integral part of a leg/ankle/foot brace. Additionally the shoe, shoe modification, and/or custom foot orthotic, and brace has to be fabricated and dispensed at the same time by the same provider and Medicare only covers the devices for the limb with the brace. The devices for the other limb/foot are not covered. Post-op shoes are statutorily not covered.
PATIENTS PAYING OUT-OF-POCKET
- We have payment plans available
- We accept HSA/FSA
- We accept Cash and All Major Credit Cards
Our Diabetic Shoe Brands
Peripheral Neuropathy
Peripheral neuropathy happens when the nerves that are located outside of the brain and spinal cord (peripheral nerves) are damaged. This condition often causes weakness, numbness and pain, usually in the hands and feet. It also can affect other areas and body functions including digestion and urination.
The peripheral nervous system sends information from the brain and spinal cord, also called the central nervous system, to the rest of the body through motor nerves. The peripheral nerves also send sensory information to the central nervous system through sensory nerves.
Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins. One of the most common causes of neuropathy is diabetes.
People with peripheral neuropathy usually describe the pain as stabbing, burning or tingling. Sometimes symptoms get better, especially if caused by a condition that can be treated. Medicines can reduce the pain of peripheral neuropathy.
Get Relief with NeuRemedy
NeuRemedy supports healthy nerve function in the feet and legs by delivering a highly bioactive form of the micro-nutrient thiamine to where it is needed, the nerve cells.
