Are Diabetic Shoes Covered by Insurance? | AG Care (2024)

Are Diabetic Shoes Covered by Insurance? | AG Care (1)

If you’ve heard of sugar and love the sweet substance, then chances are you’ve also heard of a not so sweet condition that can accompany it.

It’s none other than diabetes, which currently impacts more than 34.2 million Americans. To give you a larger perspective on how pervasive it is, more than 1 in 10 people in the country have it. That number doesn’t include the 88 million Americans who are at risk of prediabetes.

Apart from it affecting your thirst and hunger among its list of symptoms, one of the most major ways it can impact your lifestyle is in your feet. Because diabetes tends to damage your nerves, you might begin to lose some feeling in your two long limbs. This can lead to further complications when it comes to a reduced inability to heal or ward off an incoming infection.

Even though you might have never predicted that the innocent looking white powder could have caused your feet to lose their senses, it doesn’t mean that you should give up when it comes to treatment and healing.

That’s where diabetic shoes can play a big therapeutic role in reducing the pressure that your feet have to tread with on a daily basis. They can additionally provide a cushion with ample support so that you can go about your life on your own two feet as usual.

However, like all durable medical equipment (DME), their benefits come attached with a hefty cost. What you’ll usually see for diabetic shoes is a range of $50-200 per pair.

Feeling overwhelmed by the sudden lack of savings in the bank, you might already be looking toward insurance with a hopeful expression.

Luckily, Medicare does offer partial coverage and reimbursem*nt to take the load off your shoulders. (or in this case, your feet!). Like most other therapeutic options, your diabetic shoes fall under Part B because they’re considered DME.

Depending on your specific needs out of a shoe, Medicare will be able to provide you the following options:

  • One pair of custom molded shoes with inserts in case of a severe diabetic foot condition
  • One pair of extra-depth shoes
  • Two additional pairs of inserts every year for your custom molded shoes
  • Three pairs of inserts every year for extra-depth shoes

Rather than just inserts alone, they’ll also be able to cover any costs related to shoe modifications so that you can get the best fit possible.
To enjoy all of these benefits, you’ll have to prove to Medicare that you’re able to qualify for their insurance. The main requirements are a doctor’s verification and prescription that your diabetic shoes in question are medically necessary.

What that means is that you’ll have to meet at least three of the following health conditions:

  • Diabetes
  • Foot deformity
  • Diabetes-inflicted nerve damage
  • Foot ulcers
  • Foot amputation
  • Poor circulation
  • Treatment must be done through a thorough health care plan.

As soon as Medicare is able to approve you into their insurance coverage, you’ll be able to enjoy your diabetic shoes at a significantly reduced cost. Don’t forget that even though Medicare will pay for the majority, that you’re still most likely responsible for any copays and deductibles.

At the end of the day, the soothing comfort and preventative relief you’ll get from the diabetes shoes should outweigh any outstanding costs.

The content contained in this article is for informational purposes only. The content is not intended to be a substitute for professional advice. Reliance on any information provided in this article is solely at your own risk.

Are Diabetic Shoes Covered by Insurance? | AG Care (2024)

FAQs

Are Diabetic Shoes Covered by Insurance? | AG Care? ›

Like most other therapeutic options, your diabetic shoes fall under Part B because they're considered DME. Depending on your specific needs out of a shoe, Medicare will be able to provide you the following options: One pair of custom molded shoes with inserts in case of a severe diabetic foot condition.

Does insurance cover diabetic shoes? ›

YOU MAY QUALIFY FOR MEDICARE DIABETIC FOOTWEAR COVERAGE

Protective footwear can reduce complications of the foot and the number of diabetic amputations. Not only does Medicare cover diabetic shoes but so does Medicaid, Blue Cross Blue Shield and most other insurances.

What qualifies as a diabetic shoe? ›

The shoes must also be equipped with a removable orthosis. Foot orthoses are devices such as shoe inserts, arch supports, or shoe fillers such as lifts, wedges and heels. The diabetic shoes and custom-molded inserts work together as a preventive system to help diabetics avoid foot injuries and improve mobility.

Do diabetic shoes fall under DME? ›

Therapeutic shoes for diabetics are not DME and are not considered DME nor orthotics, but a separate category of coverage under Medicare Part B.

Can I get free shoes if I have diabetes? ›

Most patients with diabetes qualify for footwear and inserts under the Medicare Therapeutic Shoe Bill. Medicare covers patients for one pair of shoes and three inserts per year.

How much do prescription diabetic shoes cost? ›

What you'll usually see for diabetic shoes is a range of $50-200 per pair.

What shoes should diabetics not wear? ›

Diabetic individuals may not feel minor injuries due to neuropathy, and walking barefoot increases the risk of cuts, scrapes and bruises. Stay away from high heels and pointy shoes: High heels and pointy shoes put excessive pressure on specific areas of the feet, leading to discomfort and potential foot problems.

How often does Medicare pay for diabetic foot care? ›

Medicare covers foot exams if you have diabetes‑related lower leg nerve damage that can increase the risk of limb loss. You can get a foot exam once a year, as long as you haven't seen a footcare professional for another reason between visits.

Can a podiatrist write a prescription for diabetic shoes? ›

The doctor who treats your diabetes must certify your need for therapeutic shoes or inserts. A podiatrist (foot doctor) or other qualified doctor must prescribe the shoes or inserts, and you must get the shoes or inserts from one of these: A podiatrist. An orthotist.

Are Crocs good for diabetic feet? ›

Patients are encouraged to wear crocs after surgery especially when the feet have swollen. Diabetic patients are also encouraged to wear crocs during summer because they are more comfortable compared to diabetic shoes. These kinds of shoes are also cooler to wear in a warm environment.

Are Sketcher shoes good for diabetics? ›

The Skechers Go Walk shoes are a good option for [people with diabetes] due to the laceless fit design that offers a breathable, athletic mesh upper, the responsive 5GEN cushioning, and a Goga Max high-rebound response for assistance with propulsion,” Daughtry explains.

Are diabetic socks covered by insurance? ›

Diabetic socks are not covered by Medicare or other insurance plans, although some may be eligible for reimbursem*nt under a Flexible Spending Account (FSA)or Health Savings Account (HSA). Call your plan provider for details, keeping in mind you may need to your treatment plan.

Is podiatry free for diabetics? ›

NHS podiatry services are offered free of charge. Treatment is directed at three specialist areas of care: People with diabetes and/or other circulatory or neurological conditions that can affect foot health.

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