Your costs in Original Medicare
If your supplier accepts assignment, you pay 20% of the Medicare-approved amount, and the Part B deductible applies.
Medicare will only cover your therapeutic shoes if your doctors and suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. If your doctors or suppliers aren't enrolled, Medicare won't pay the claims submitted by them.
It's also important to ask your suppliers if they participate in Medicare before you get therapeutic shoes. If suppliers are participating suppliers, they must accept assignment. If suppliers are enrolled in Medicare but aren't "participating," they may choose not to accept assignment. If suppliers don't accept assignment, there's no limit on the amount they can charge you.
Things to know
The doctor who treats your diabetes must certify your need for therapeutic shoes or inserts.
The shoes and inserts must be prescribed by a podiatrist (foot doctor), or other qualified doctor and provided by one of these:
A podiatrist
An orthotist
A prosthetist
A pedorthist
Another qualified individual