Participants in the government Medicare program Part B who are diagnosed Diabetic may be eligible for one pair of diabetic shoes and 3 pairs of diabetic inserts per calendar year. Please print out the instruction form and medical form for your medical doctor to sign. It must be the medical doctor who is treating you for your diabetic condition. (No DPM/Podiatrist) After the form is signed, please call us for an appointment and to check eligibility. HMO’s must be pre-authorized. Diabetic footwear will be dispensed with little or no cost to the individual after we bill Medicare and a supplement insurance company.
Diabetic Shoe Form