Yes! Medicare does cover the fitting and furnishing of therapeutic shoes or diabetic shoes and inserts. Specifically, Medicare will cover one pair of customized molded shoes and inserts, one pair of extra depth-shoes. In addition, they also cover two additional pairs of inserts per calendar year and three pairs of inserts for extra-depth shoes.
If you have any Medicare-related questions don’t hesitate to contact Bluewave Insurance services at 800-208-4974. One of our licensed insurance agents will be able to answer any questions you may have.
How does Medicare pay for the cost of Diabetic shoes?
For Medicare to pay for your diabetic or therapeutic shoes, the beneficiary must go to a specialist or doctor to get prescribed diabetic shoes. Without the prescription, Medicare will not pay for the cost of the shoes and you must pay for it out of pocket.
Certified specialists to go to for coverage are podiatrists, prosthetists, orthotists, pedorthists, and other qualified doctors that can assess your health conditions. Once you are able to get a prescription from a doctor for the shoes, you must go to a pre-approved Medicare supplier. In order to find that, speak with your local shoe center to see if they accept the assignment, or check out Medicare.gov and find a supplier near you with their search tool.
Medicare Part A & B and Diabetic Shoes
Original Medicare Part A and Part B are programs that U.S. citizens are eligible for when they turn 65. The best time to apply is during the six months after your 65th birthday or Medicare Part B effective date. During this time, folks can apply for a Medicare supplement plan and get coverage for the 20% that Original Medicare doesn’t cover.
Medicare Part A covers hospital coverage such as inpatient hospital care, hospice care, nursing home, home health, and more.
Medicare Part B covers the outpatient service such as doctors office visits, durable medical equipment (DME), mental health care, hospice care, preventative care, lab test, blood work and more.
In this particular case, if a patient needs diabetic shoes because of symptoms like evidence of callus formation, foot deformity, toe amputation, etc, then most likely Medicare Part B will cover the costs of shoes and inserts.
Yes, but only if a doctor is able to give you a prescription for orthotics. To be eligible you must be experiencing foot deformity, foot pain, poor circulation, and any other foot-related condition. To learn more about what Medicare covers, give us a call at 800-208-4974.
Medicare will help cover one pair of diabetic shoes and one pair of inserts and one pair of extra depth-shoes. In addition, they can also cover two additional pairs of inserts per calendar year and three pairs of inserts for extra-depth shoes depending on the need of the patient.
How Medigap Can Lower the Cost of Therapeutic Shoes
When you locate the appropriate pre-approved Medicare supplier, they may accept the assignment or not to cover the therapeutic or diabetic shoes. If they accept the assignment Medicare will pay for 80% of it, but 20% you must pay out of pocket, and in addition the Part B deduction.
In order to fill the gap that Original Medicare doesn’t cover, having a Medicare supplement or Medigap plan can cover the remaining 20%. To learn more about this supplement plan, give us a call at 800-208-4974. Our team of licensed insurance agents can provide free consultation and go over different plan options.
What Are The Benefits of Therapeutic Shoes
Therapeutic shoes can bring a lot of benefits for you. It not only provides comfort and reduces foot pain, but it can help with circulation if over the years have been experiencing blood ulcers or clots.
With therapeutic shoes, you can specifically mold the shoes to your food size and add extra padding, inlays, and specialized inserts for your feet. This can reduce the motion of friction, provide extra protection, and give a more personalized experience for your feet.
If you have any questions about diabetic shoes and their benefits and how Medicare can help pay for the shoes, give us a call at 800-208-4974. One of our insurance experts will be able to assist you with any questions you may have.
How Are You Eligible For Therapeutic Shoes
Folks that are eligible for therapeutic shoes must receive a prescription from a doctor or specialist. Folks that need therapeutic shoes are those that are experiencing foot pain and need medicare coverage or health care coverage to reduce that pain. Also, folks that have foot deformities or abnormalities, foot ulcerations, foot amputation are qualified individuals for diabetic shoes.
What is the Therapeutic Shoe Bill (TSB)
If you have diabetes, experiencing foot problems can be a common occurrence. With the help of health care professionals, medicare beneficiaries, lobbyists, and more, Congress was able to pass the Therapeutic Shoe Bill or TSB short that used Part B reimbursements for therapeutic shoes, modifications, and inserts.
In order to get coverage for therapeutic shoes, it must be prescribed by a medical professional, doctor, or specialist. You must be suffering from a foot deformity, have a history of ulcers, medical records of diabetic neuropathy, and more. Thanks to the bill, folks suffering from these conditions can now get coverage.
If you are experiencing diabetes and need diabetic or therapeutic shoes, it’s important to know that Medicare can help cover those needs so you don’t have to pay out of pocket. To be eligible for Medicare coverage the patient must consult with a doctor or medical professional to get a prescription. After, they must go to a Medicare-approved establishment and see if they accept the assignment. Once they do, they can start receiving diabetic shoes at low to no cost for the policyholder.
thumbIf you have any questions about Medicare or would like to learn more about how to get more health care coverage. Give us a call at 800-208-4974. One of our trust insurance agents will be able to assist you.