This article explores Medicare’s coverage for orthotic shoe inserts, including eligibility, allowable quantities, out-of-pocket costs, and the key documentation necessary for claim approval. Focusing especially on diabetic patients and those with severe foot conditions, it also clarifies the roles of healthcare providers, suppliers, and manufacturers in the claims process. OEM and international partners gain essential insights for compliance and market expansion, ultimately supporting improved patient mobility and well-being.
Medicare covers medically necessary orthotic inserts for people with qualifying diagnoses, according to strict annual limits and procedures. Patients must work with enrolled suppliers and healthcare professionals to obtain the prescribed devices and pay standard copayments after meeting their deductible. Custom inserts, extra-depth shoes, and shoe modifications are eligible in defined circumstances, enabling improved health and well-being among qualifying individuals.
