For individuals living with diabetes, managing blood sugar levels is just one aspect of a comprehensive healthcare routine. Attention must also be given to foot care, as diabetics are at a significantly higher risk for foot complications that can lead to serious health issues, including infections, ulcers, and at worst, the need for amputation. It’s here that diabetic shoes and inserts play a crucial role in preventative care. Thankfully, for those covered by Medicare, there may be coverage available for these essential items.
Why Diabetic Shoes and Inserts?
Diabetic neuropathy, a type of nerve damage associated with diabetes, can lead to a loss of feeling in the feet, making it difficult to detect injuries or pressure points. Without the proper protective footwear, everyday activities can pose risks. Diabetic shoes and inserts are designed to reduce the risk of skin breakdown in diabetics with pre-existing foot disease. They achieve this through several features:
- Non-binding uppers: The material of the shoe does not constrict but comfortably accommodates the feet, which can help in reducing pressure points.
- Deep toe boxes: This feature allows extra room for the toes, helping to prevent pressure on the toes and nails, which can lead to ulcers and infections.
- Thick, cushioned soles: These reduce the impact and pressure on the bottom of the foot, supporting a more stable and comfortable gait.
- Seamless interior: Reducing friction and pressure inside the shoe can prevent blisters and sores, crucial for those who may not feel these injury precursors due to neuropathy.
- Custom-molded inserts: Tailored to the individual’s foot, these inserts ensure an even distribution of weight across the foot, minimizing pressure points and supporting proper foot alignment.
Medicare Coverage for Diabetic Shoes and Inserts
Recognizing the vital role that diabetic footwear plays in preventing serious foot complications, Medicare Part B (Medical Insurance) covers the cost of therapeutic shoes or inserts for qualifying diabetics. To be eligible, individuals must have diabetes and one or more of the following conditions:
- History of partial or complete foot amputation,
- Past foot ulcers,
- Calluses that could lead to foot ulcers,
- Nerve damage because of diabetes with signs of problems with calluses,
- Poor circulation,
- A deformed foot.
Eligible individuals are entitled to one pair of custom-molded shoes (including inserts) and one pair of extra-depth shoes per year. Additionally, Medicare will cover two additional pairs of inserts each year for custom-molded shoes and three pairs of inserts each year for extra-depth shoes.
Getting Started with Diabetic Shoes and Inserts
If you or a loved one are living with diabetes and are interested in diabetic shoes and inserts, the first step is to consult with your healthcare provider. They can help determine if you qualify for Medicare coverage and refer you to a qualified supplier, like an Ambulatory Foot & Ankle Clinic, that specializes in diabetic footwear. It’s important to choose a supplier that will work with you to find the right fit and style, ensuring that your footwear not only protects your feet but also fits your lifestyle.
Final Thoughts
Foot complications can be a significant concern for individuals with diabetes, but with the right preventive measures, many of these issues can be avoided. Diabetic shoes and inserts are critical tools in the prevention of foot-related complications. For those covered by Medicare, accessing these tools can be easier than expected. By taking advantage of the coverage available, individuals with diabetes can take a proactive step towards maintaining their foot health and overall wellbeing.
At the Ambulatory Foot & Ankle Clinic, we’re committed to helping our patients navigate their diabetic foot care needs, including assisting with Medicare coverage for diabetic shoes and inserts. Don’t let foot complications slow you down. Take the step today towards healthier feet for a healthier tomorrow.