Insurance Coverage for Therapeutic Shoes

How Do I qualify for diabetic footwear under the Medicare Program or other insurance?

To Be Eligible You Must:

  • Have Medicare as your primary insurance
  • Be under the care of a physician for diabetes
  • Have at least one of several foot conditions associated with diabetes:
  • Pre-ulcerative callus formation
  • Peripheral neuropathy with a history of callus formation
  • Foot deformity
  • Poor circulation
  • History of previous foot ulceration
  • Previous amputation of the foot or part of the foot
  • Most commercial insurance companies follow Medicare guidelines. Contact your insurance company directly to see if you qualify for therapeutic shoes under your insurance plan. Be sure to tell them you are diabetic.

What does the Medicare Therapeutic Shoe Program Cover?

Medicare (Part B) will cover 80% of the cost of the following per the calendar year:

  • One pair of extra depth shoes
  • Three pairs of heat molded inserts or three pairs of custom fabricated inserts.
  • If you have Medicare as your primary and you have secondary insurance, there may be NO COST to you.

How Do I Get Fit For Shoes?

  • Talk to your diabetic care physician about the Diabetic Shoe Program.
  • Request a prescription for diabetic shoes and inserts.  A prescription and Statement of Certifying Physician for Therapeutic Shoes must be on file before shoes and inserts are dispensed.
  • Contact your insurance company to see if you meet their requirements for coverage.
  • Contact Sole Remedy Foot Care to find out how the diabetic shoe program can benefit you.  Sole Remedy Foot Care is a recognized and accredited facility through the American Board For Certification In Orthotics, Prosthetics, and Pedorthics, Inc.

Sole Remedy specializes in gait analysis, foot type assessment, musculoskeletal injury management, and fall prevention.
Phone: 508-295-8800 or 855-FOOT RX 9 to schedule an appointment today!