|| 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.