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In 1995, Congress amended Medicare statutes to provide partial reimbursement for extra-depth shoes and shoe inserts for qualifying Medicare Part B patients with diabetes. The Centers for Disease Control has estimated that 86,000 lower limb amputations due to diabetes occur annually – and experts agree that most are preventable with appropriate footwear that is properly fit. !@!@! HOW DO I QUALIFY? The physician (M.D. or D.O.) who manages your systemic diabetes is called the certifying physician . The certifying physician must state the following: 1. You have diabetes mellitus 2. You exhibit one or more of the conditions which Medicare describes as an at-risk factor: A. History of partial or complete amputation of the foot B. History of previous foot ulceration C. History of pre-ulcerative callus D. Peripheral neuropathy with evidence of callus formation E. Foot deformity F. Poor circulation 3. You are being treated under a comprehensive plan of care for your diabetes and that you would benefit from therapeutic shoes and/or inserts. • History of partial or complete amputation of the foot • History of previous foot ulceration • History of pre-ulcerative callus • Peripheral neuropathy with evidence of callus formation • Foot deformity • Poor circulation !@!@! WHAT IS REIMBURSABLE? Within a given calendar year (January-December), a qualifying patient can receive an allotment from Medicare for one pair of extra depth shoes and three pairs of inserts . !@!@! HOW MUCH DO I HAVE TO PAY? The Medicare will reimburse a portion of the amount it designates as “allowable,” with the patient, or supplementary insurance, responsible for paying the dispenser/supplier the remainder of the total payment amount. !@!@! WHERE DO I GO TO OBTAIN THE SHOES? Give us a call TODAY for more information at 651-636-0848 or out of the Twin Cities metro area at 800-676-9399.
 
     

 


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