A pedorthic device is created to treat a variety of possible foot-related problems such as congenital deformity, improper walking and partial foot amputations. If you are covered by Medicare Part B, you qualify for therapeutic shoes and/or inserts. Medicare coverage can help prevent suffering while saving you money!
Medicare Part B covers one pair of therapeutic shoes and/or inserts and one fitting each calendar year. If you qualify, you are limited to one of two types of the following shoes each year:
- One pair of depth-inlay shoes and three pairs of inserts
- One pair of custom-molded shoes if you can’t wear depth-inlay shoes because of a foot deformity, and two addition pairs of inserts.
In order for Medicare to cover the cost of your therapeutic shoes, the doctor treating your diabetes must verify that you meet three conditions:
- You have diabetes
- You have least one of the following conditions in one or both feet:
- Partial or total foot amputation
- Foot ulcers
- Pre-ulcerative calluses
- Nerve damage due to diabetes
- Poor circulation
- Foot deformity
- You are receiving treatment through a comprehensive care plan and need therapeutic shoes and/or inserts
Medicare also requires that:
- Your doctor confirms your need for therapeutic shoes or inserts.
- A podiatrist or other qualified doctor prescribes them.
- Your items are provided by a podiatrist, orthotist, prosthetist or pedorthist
Medicare will usually pay 80 percent of the amount owed either directly to you or through a reimbursement. However, Medicare pays for different kinds of equipment differently depending on other insurance you have, how much your doctor charges, the type of facility, etc.
If you are in need of a therapeutic shoe or insert, talk to Creative Technology! We can help you find the right solutions. We can also help you figure out the complicated insurance and billing information. Let Creative Technology know how we can help you today!