DIABETES SHOES

At little or no cost to you

If you are diagnosed with diabetes, you may have coverage for therapeutic footwear at little or no out-of-pocket or up-front costs.

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You will need the following:

1. Your Prescription for footwear

Bring or fax to 270-747-8779

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2. Your Insurance Cards

Bring or fax to 270-747-8779

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3. Insurance Accepted

Medicare

Medicare Primary + Mass Health

Blue Cross Blue Shield

Harvard Pilgrim

Tufts Healthcare

ChampVA

Commonwealth Care Alliance

Senior Whole Health

Tricare

Unicare

United Healthcare (prior approval required)

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4. Criteria

History of partial or complete amputation of the foot

History of previous foot ulceration

Peripheral neuropathy with evidence of callus formation

Foot defmority

Poor circulation

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5. Documentation

With your permission, we will request required documentation from the ...

Physician who manages your diabetes

Clinician who examines your feet.

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6. Wear Socks

7. Bring Braces if you wear them and you plan to wear with the shoes.