Medicare Diabetic Foot Program
Advanced Foot & Ankle Center is an authorized Medicare Supplier which is qualified to evaluate, prescribe and dispense high quality shoes and 3 pairs of removable protective shoe inserts per calendar year. Many diabetic patients qualify for this benefit and Medicare will pay 80% of the cost for the shoes and insoles and your supplemental insurance should pay the other 20%.
The Medicare Therapeutic Shoe Bill was enacted by Congress in order to provide proper footwear and inserts for people with diabetes who qualify under Medicare Part B.
This program was designed to prevent complications such as lower limb ulcers and amputations for individuals who suffer from diabetes.
Who is Eligible?
Those 65 years or older and under the care of a Physician for Type I or Type II Diabetes and in the opinion of your Doctor have one (or more) of the required conditions specified on the Statement of Certifying Physician Form and are enrolled in Medicare Part B coverage.
What is Covered
Each calendar year, Medicare will pay 80% of the cost of:
a) One pair of extra depth shoes specifically approved for the diabetic foot.
b) Three pairs of heat molded multiple density inserts specifically made for the diabetic foot.
Additional Information
Medicare has an annual deductible that has to be met every year. The remaining 20% that Medicare DOES NOT pay, is usually covered by the patient’s secondary insurance or will be an out of pocket expense to the patient.
In most cases, we submit the Medicare claim on your behalf so the out of pocket cost to the patient is minimal. If you have a Medicare HMO, your benefits under the Therapeutic Shoe Bill must be administered and provided by the HMO.
Please feel free to contact our office for more information.
Please see the ADA website for more information
Advanced Foot & Ankle Center
137 Professional Park Drive, Suite C
Mooresville, NC 28117
704-662-8336 phone
704-662-8525 fax
