Dr. Pamela Tola

Podiatrists - Hamilton
Professional Center at Hamilton
2089 Klockner Road Road
Hamilton , NJ 08690
609-588-5474

 

Medicare Diabetic Shoe Program

What does diabetes have to do with shoes?
One of the most common complications of diabetes is neuropathy, a loss of feeling that puts diabetic seniors like you at risk for skin breakdown, foot ulceration and infection.

Every week, more than 1,500 Americans have anywhere from a portion of their foot to their entire leg amputated because of complications related to diabetes.

For people with diabetes, wearing ill-fitting or improper shoes is the most common cause for developing problems that lead to amputation. Properly-fitting, comfortable, easy to wear shoes are your best protection from amputation and other foot problems.

How can I protect my feet?
To provide your feet with an uncompromised fit, your doctor can prescribe shoes that are available in a variety of widths and have enough room to fit a cushioned insert. If a significant deformity exists, custom-molded shoes may be necessary, which can be made from molds of your feet.

How do I get fit for shoes?
Your foot care specialist uses great care to evaluate and measure your feet and has sample shoes and catalogs making it easy for you to see the variety of shoe styles available.

How do I know if I’m eligible?
To be eligible for the Medicare Therapeutic Shoe Program, you must:
• Have Medicare as your primary insurance;
• Be under the care of a physician for your
  diabetes;
• Have at least one of several common risk
  factors associated with diabetes.

How much do therapeutic shoes cost?
If you have secondary insurance, there may be NO COST. Your podiatrist can provide you with more details relating to specific shoes, inserts and your shoe benefits.

If my Medicare coverage is provided through a managed care plan, are therapeutic shoes still covered?
Therapeutic shoes and inserts for seniors with diabetes who meet the criteria are included in all health care plans. Generally, in addition to a prescription from your physician, authorization from your managed care plan is necessary for complete coverage.

What coverage is provided if I have both Medicare and Medicaid?
There is no cost to you.

If I have diabetes but am not covered by Medicare, will my health plan cover therapeutic shoes?
Health plans differ and it is important to confirm that therapeutic shoes are a
covered benefit.
However, the risk of ulceration and infection is no less important just because shoes are not a covered benefit.

Don’t take any unnecessary risks! If you’re unsure about your eligibility, contact your
health insurer immediately.

Where can I get more information?
Your podiatrist should be familiar with the general features of therapeutic shoes and the Medicare Therapeutic Shoe Program. Ask your foot care specialist about this program, or about any other aspect of your personal foot care.

Patient Library