If you are Diabetic and enrolled in Medicare, Medicare Advantage, Medicaid, BCBS of KS and KC or one of the many health insurance plans, you may be eligible to receive one pair of diabetic shoes and three pairs of custom inserts every calendar year. Eligibility criteria is identified below and must be approved by your primary care physician. One of our certified diabetic shoe fitters will call you to measure your feet and perform an extensive foot exam We also take an impression of your foot so that custom inserts can be manufactured specific to your feet.

What is Covered by Your Insurance?

Medicare and Private Insurance typically cover 80% of the cost of the following (per year):

• One pair of Diabetic Shoes
• 3 pairs of custom inserts

Eligibility

The patient must have one or more of the following conditions:

• Poor circulation
• History of pre-ulcerative callus
• Foot deformity
• Peripheral Neuropathy with evidence of callus formation
• History of previous foot ulceration
• History of partial or complete amputation of the foot

In addition, your primary care physician must examine your feet within 6 months of receiving your shoes and inserts.

The Three Simple Steps to Obtain Diabetic Shoes

1. You must meet with the doctor managing your diabetes and get your feet examined. Your foot examination must be performed within 6 months of receiving your diabetic shoes and custom inserts.
2. Provide your doctor with our Comprehensive Diabetic Foot Examination Form to use during the examination. The foot examination findings need to be kept in your doctor's medical records.
3. If your doctor determines you qualify for diabetic shoes and custom inserts, have your doctor fill out our Statement of Certifying Physician Order Form and fax it to Wellness Life Systems.

Once we receive the Statement of Certifying Physician Order Form, you will be three steps closer to receiving your annual Diabetic Shoe Benefit.

Click here to download the Comprehensive Diabetic Foot Evaluation Form.

Click here to download the Statement of Certifying Physician Form.

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