Shoes for patients living with diabetes are made of special protective inserts and soft shoe materials to accommodate for conditions, such as neuropathy (numb feet), poor circulation and foot deformities (bunions, hammertoes, etc.). The shoes decrease the chance of foot sores (ulcers), which can be caused by friction and pressure. This may lead to infection, gangrene or even amputation.
Most Insurance will cover 1 pair of diabetic shoes and insoles; however, not all diabetic are entitled to this benefit.
- Completed, signed and dated statement from the certifying physician (physician managing the beneficiary's systemic diabetes condition) specifying that the beneficiary has diabetes and:
Previous amputation of the other foot, or part of either foot, or
History of previous foot ulceration of either foot, or
History of pre-ulcerative calluses of either foot, or
Peripheral neuropathy with evidence of callus formation of either foot, or
Foot deformity of either foot, or
Poor circulation in either foot
and is being treated under a comprehensive plan of care for his/her diabetes, and needs diabetic shoes.
- Clinical evaluation, performed by the certifying physician within six (6) months prior to delivery, that addresses the beneficiary's diabetes management.
- Supplier in-person evaluation conducted prior to selection of items that documents an examination of the beneficiary's feet with a description of the abnormalities that will need to be accommodated by the shoes/inserts/modification
- In-person visit, at the time of delivery, which assesses the fit of the shoes and inserts with the beneficiary wearing them