Board for Certification in Pedorthics Facility AccreditationPedorthic Footwear Association Member
 
 

DIABETES

Insurance coverage is
 
available to help obtain
 
footwear for people with
 
diabetes and foot complications.
 

Required Forms




 

PROTECTING THE AT-RISK FOOT

If you have medical insurance and are diagnosed with diabetes and foot complications, you may have coverage for therapeutic footwear at little or no out-of-pocket or up-front cost.

Contact Us
at (617) 787-8779
to get started

Protecting At-Risk Feet
People with diabetes, who are diagnosed by their doctor to have complications of neuropathy and circulatory deficiencies face the risk of developing lesions on their feet. Lesions become infections that easily escalate and progress to amputations. A major contributing risk-factor is footwear that causes excessive shear and compressive forces to occur on the weight-bearing foot.

Diabetes-associated lower extremity amputations comprised 70.2% of all lower extremity amputations performed in Massachusetts from 2002 through 2004, according to Massachusetts Department Public Health.

A primary strategy for protecting the feet of people with diabetes is to provide therapeutic footwear. Therapeutic shoes are professionally fitted to accommodate custom molded insoles, and provide a safe environment for the feet, especially in the toe area. Custom molded insoles evenly distribute pressures across the weight-bearing (plantar) surface of the foot.

Therapeutic Shoe Benefit (TSB) for Persons with Diabetes and Complications
In May 1993, Congress amended Medicare statutes to provide partial reimbursement for depth shoes, custom molded shoes, and shoe inserts or orthopedic modifications to qualifying Medicare Part B patients with diabetes. Most insurers and HMOs provide coverage for diabetic footwear.

In order to qualify, you must have a diagnosis of diabetes with at least one of the following conditions:

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

About Boston Pedorthic
At Boston Pedorthic your feet and how footwear can help them is our “sole” concern. Board Certified Pedorthists are credentialed as C.Peds, who are clinically trained shoe specialists, knowledgeable in anatomy & physiology, lower-extremity biomechanics, and disorders affecting the feet and gait. What’s more, experienced pedorthists know shoe construction.

Whether it’s for casting and crafting a custom shoe, or cutting apart a shoe and building up an orthopedic modification, you can depend upon skilled hand work and expert decision-making.

Boston Pedorthic is accredited by the American Board for Orthotics, Prosthetics and Pedorthics and is a member of the Pedorthic Footwear Association and the Diabetes Coalition of Massachusetts.

Getting Started

    If you are using Medicare, you need two more items:
  • Clinical Notes, detailing the complication, secondary to Diabetes, which is stated on your SCP. These Clinical Notes must be signed by your Certifying Physician
  • Evidence that you have seen your certifying physician within the past six months.

These forms may be faxed to Boston Pedorthic at (617)-787-8779. If you have a prescription and wish Boston Pedorthic to fax the other forms to your doctor(s) directly, just let us know.

Offices in Brighton or Woburn. To get started, call us at 617-787-8779 or Contact Us

Boston Pedorthic Resources
Telephone (617) 787-8779
Facsimile (270) 747-8779

Contact Us
Finding Boston Pedorthic
What to Expect at Your Appointment

Other Resources

For People Living with Diabetes
Taking Control of Your Diabetes
Diabetes Self-Management Education/Training - Mass.gov
Managing Diabetes - CDC
Your Health with Joan Lunden and CDC

Public Health
Massachusetts Diabetes Data
National Interactive Diabetes Data - CDC
Disease Management and Wellness: Focus on Diabetes - Mass.gov
Massachusetts Dept. of Health. Massachusetts Guidelines for Adult Diabetes Care

Become Involved
American Diabetes Association - New England
American Diabetes Association - Advocacy

 

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