It is well-known that people with diabetes mellitus can experience numerous foot problems, many of which if untreated can become severe. Proper foot hygiene and other forms of preventive care can prevent many of these complications. One important component of protection and injury prevention in the diabetic foot is the Medicare diabetic shoe program.
Approximately 30 years old, the Medicare diabetic shoe program was designed to provide protective shoes as a covered service for Medicare patients with diabetes who met certain criteria. To qualify for this program, the patient must meet 3 criteria: Coverage by Medicare or Medicare Advantage Plan, diagnosed diabetes mellitus, and a diagnosis of any of the following 6 conditions: Poor circulation; foot deformity; neuropathy with callus formation; callus; history of previous ulcer; or history of partial or complete amputation of the foot. Since 60% of diabetic patients have neuropathy, over 10% have poor circulation, and 70% have some type of foot deformity (bunion, hammertoe, etc.), a majority of diabetic patients will meet the criteria for inclusion in the program.

