We are proud to offer diabetic shoes and inserts through our clinic.
Who qualifies for diabetic shoes and inserts?
Not all patients with diabetes qualify for diabetic shoes and inserts, however a yearly diabetic foot evaluation can be performed and at such time a determination can be made whether or not you qualify. If you do qualify, Medicare will help cover 80% of the cost of the shoes and inserts, supplemental insurance usually picks up the rest. Co-pays and deductible do apply.
Not all diabetic patient need diabetic shoes. Diabetic shoes are reserved specifically for diabetic patient’s who’ve qualify under the Medicare diabetic shoe program guidelines.
You must have at least one of the following findings to qualify for the Medicare diabetic shoe program.
- A prior diabetic foot ulcer or preulcerative callus
- Neuropathy with callus
- A prior amputation of some part of your toes or foot
- Poor circulation
- Foot deformity
How do I know if I qualify for diabetic shoes and inserts?
The first step in qualifying for diabetic shoes is undergoing a diabetic foot evaluation. At that point in time a determination will be made as to whether or not you qualify to participate in the Medicare diabetic shoe program.
What if I don’t qualify for diabetic shoes and inserts?
If you have healthy feet, good sensation, excellent circulation, no deformity and no history of ulcers or concerning calluses you would not qualify for diabetic shoes under the Medicare program. You can still choose to purchase them at your own cost if you would like. Or, you should be able to wear almost any shoes that fit appropriately and are comfortable. You should however still be cautious with what styles and types of shoes you choose to wear and avoid shoes that cause any blisters or irritation to your feet.
What if I do qualify for diabetic shoes and inserts?
Our office we’ll send documents and chart notes to your primary care doctor for review and signatures. These will be sent to the doctor who manages your diabetes and this person must be an MD or a DO (medicare requirement). For you to qualify, you must have seen his doctor within the past 6 months for your diabetes. If the doctor agrees with the findings, the forms will be signed and faxed back to our office as well as a copy of a chart note from her primary care demonstrating management of your diabetes within the last 6 months.
Measuring/Sizing and Shoe Selection Appointment
Once we receive this paperwork back from your doctor we will call you to schedule an appointment at which time Dr. Hix will assist you in selecting proper shoes, measuring her feet, and possibly take impressions for custom molded inserts. Currently there are multiple styles to choose from, and you may have some leeway in what kind of shoe he would like to wear, however sometimes deformity or significant swelling does not allow for selection of any shoe you might like. You must be prepared to make some concessions with regard to shoe style and size if necessary. There is no charge on this visit.
One to three weeks later your new shoes and inserts should arrive to our office and we will give you a call to schedule a time for you to come in for a shoe/insert dispensing. We will make sure the shoes and inserts are comfortable and fit appropriately. Heat molded inserts will be heat molded to your feet. Appropriate paperwork will be signed and dispensed including warranty information, authorization for billing, etc.
It is important to gradually begin wearing the shoes. Typical you should wear them for maybe an hour the first day, check your feet for any irritaiton or blisters, 2 hours the second day, recheck your feet, and continue to increase by an hour a day until you are wearing them all day long without any problems.
After a week or 2 of using them just indoors, if they are comfortable and you have had no problems you can then wear them outside and as much as you like. Continue to do your daily foot checks, be careful to watch for blisters, red areas, irritation or wounds that could develop if the shoes are not fitting properly. Alert our office to any problems or concerns as soon as they are discovered.
Feel free to browse the Dr. Comfor Website or stop by our office to view our displays of most of their shoe models.
Call us to make an appointment to schedule your diabetic foot evaluation to find out if you qualify to participate in the Medicare diabetic shoe insert program.