Be assured that your feet are in good hands at Bail's!

 

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The Diabetic Shoe Program

 

Do you have Diabetes?

Proper Footwear and special inserts can help prevent many foot problems associated with your condition!

 

What is covered under the program?

Medicare (and most insurance companies), will cover 80% of the following per calendar year:

1 pair of Extra Depth Shoes with 3 pairs of heat molded, multi-density inserts.

~OR~

1 pair of Custom Molded Shoes with 2 additional pairs of heat molded, multi-density inserts.

 

How do you qualify for the program?

Any Medicare (Part B) or other insurance covered diabetic patient who has documented certification from his/her physician in managing their systemic diabetic condition. This documentation states that the patient is being treated under a comprehensive plan of care for his/her diabetes and that the patient has one or more of the following conditions:

  • Poor Circulation
  • History of Previous Foot Ulceration
  • Foot Deformity
  • Pre-Ulcerative Callous Formation
  • Peripheral Neuropathy
  • Previous Amputation of the foot or part of the foot

What do you need to get started?

Medicare and other insurance plans that have Diabetic Shoe Programs generally require the following before any benefits are paid toward Diabetic Shoes, Inserts or Modifications furnished to a program beneficiary:

CERTIFICATION OF
MEDICAL NECESSITY
Signed ONLY by Physician dealing with the patient's systemic diabetic condition
PRESCRIPTION FOR SHOES AND INSERTS Signed by a Physician or a Podiatrist

Other important facts to be aware of:

  • Most insurance companies follow the Medicare criteria and standard. Masshealth, however, requires an additional certification form that is available from Bail's Custom Footcare.
  • For the patient's convienience, we bill most insurance companies and accept assignment.
  • Patients with secondary insurances generally have no out-of-pocket expense for STANDARD Diabetic Packages.
  • Deluxe Shoe Styles and Upgraded Inserts have an additional out-of-pocket surcharge.