Deadline to Order Diabetic Shoes within Medicare’s “Calendar Year” is Weeks Away!

Important reminder:  Qualifying people with diabetes only have a few weeks left to order shoes for Medicare/insurance coverage within the 2018 calendar year. Click here or call 1-866-923-2423 to fill out an application for coverage today.

What does “calendar year” mean in Medicare or insurance terminology?

When someone orders diabetic shoes covered by Medicare or insurance, they may see the term “CY” or “Calendar Year” listed beside the coverage (see below image). But, what does that really mean?

medicare calendar year

 

In insurance and Medicare terminology, “calendar year” applies to the period between January and December of any given year. That means a covered individual can order one pair of shoes and three sets of inserts at any time in 2018, then again anytime in 2019, and again in 2020…any month within each year, as long as a doctor deems them medically necessary.

This is slightly different than having shoes covered once every 12 months because it is less restrictive – a claimant does not necessarily have to wait 12 months to get their next pair, so long as they are in the next calendar year. For example, a person could order a pair of diabetic shoes in November 2018, then get another pair in March 2019, and get their next pair in January 2020. This provides some freedom for people order shoes when they need them, rather than having to make them last for 12 months each time. This is a good thing, because diabetics should wear their therapeutic  shoes and inserts every day and may want new ones sooner than expected!

Don’t leave a diabetic shoe order to the last minute – order before the end of November!

Many people choose to order their diabetic shoes from nocostshoes.com at the end of the year. This can be strategic – those who get shoes in October or November have to wait less time to order their next pair of Medicare-covered shoes, since their coverage restarts again in January. Other times, it’s less about strategy and more the result of forgetting or putting off ordering until the end of the year.

Whatever the reason, waiting until October or November to place an order is a common choice, but ordering any later than that may place the order in the next calendar year. Why? Because there are several steps required to obtain Medicare coverage, all of which need to be completed within the calendar year (in this case, 2018) in order to finalize the claim.

For those who place an order for shoes after mid-December will have their order shipped and billed in January. As a result, their final Medicare claim will fall under the following calendar year.

Tips for remembering to order diabetic shoes

remembering diabetic shoe appointmentRemembering to order diabetic shoes during each calendar year isn’t just a smart choice financially – it is also critical for health and well-being. But, how can qualifying diabetic Americans remember to order a pair each year? Here are some of the things our customers do to keep this coverage top-of-mind:

  • Book regular appointments with a family doctor and ask them to make a note of the need for shoes each year. To access diabetic shoes covered by Medicare and/or insurance, people with diabetes need paperwork filled out by their doctors. That’s why many people who need diabetic shoes ask their family doctor to make a note on their charts about the need for this equipment each year. People who need these shoes should already have regular appointments booked in advance, so it’s easy to ask the office to note that this appointment should involve discussion of diabetic shoes. Also, when noting the appointment in one’s own calendar, be sure to add a note about diabetic shoes.
  • Order shoes right after a doctor’s appointment. Of course, a reminder from the doctor doesn’t mean much if it isn’t followed by action. Those who make a routine of ordering shoes right after a regular checkup each year may find it easier to remember this important order.
  • Ask a podiatrist if it’s time for new shoes. Those who are better able to remember deadlines can also be strategic about their order by asking their podiatrist during a Medicare-covered appointment to whether their inserts/shoes are due for a replacement. If they say no, it may be wise to wait until later in the year (September – early November) to order shoes. If they say yes, of course, order them ASAP!
  • Tell a few loved ones about the deadline. It might be tough to remember the application deadline on one’s own, but telling a spouse, caregiver, and children about it as well will increase the likelihood someone will remember.
  • Write it down. Of course, the best advice is often the simplest – make a note in a calendar and stick to it! For those who do better with routine, picking a month each year to make an order is the best option.

11 Critical Reasons to Wear Your Doctor-Prescribed Orthotics and Custom Insoles

One of the most common misconceptions about orthotics is that they are prescribed for one specific reason. In reality, specialty shoe inserts support your physical health in many, many different ways. While your podiatrist might recommend this solution in response to something like foot pain, a broken arch, or diabetes complications, custom shoe inserts or orthotics offer multiple benefits.

When your podiatrist tells you to wear custom insoles, there are plenty of reasons to listen. Here are the top 11 reasons to wear the custom orthotics or insoles prescribed to you by a medical professional.

1. Orthotics take pressure off your joints.

When you walk or run, multiple body parts are working together to get you from point A to point B. Orthotics help your feet to properly carry your weight, which has a positive influence on every other body part involved in your movement. In particular, it takes pressure off of important joints including your ankles, knees, and hips.  That means less pain and healthier movement all around!

2. Orthotics reduce back pain.

back pain xray why to wear orthoticsWhen your feet are not properly carrying weight while you walk, the pressure shifts to other body parts.

The chain reaction usually goes like this: Feet aren’t doing their job, so knees have to make up for it. The knees then turn inward (this is often referred to as “knock-knees”), shifting the angle where the thigh bone meets the pelvis and damaging a person’s posture. That unsteady posture is bad news, especially for the lower back.

Custom orthotics get to the source of these back issues, improving gait and posture by supporting the feet.

3. Orthotics help you move faster.

You might not be a professional athlete, but moving at a decent speed can make a big difference on a day to day basis. Orthotics absorb shock when walking or running. This better, easier foot movement makes a big difference in speed as well as stamina when moving.

4. Orthotics prevent injury.

dr with xray feet back joints why to wear orthoticsFoot injuries are a big concern for people with diabetes. Nerve damage can make it difficult to identify or respond to foot pain, which can lead to exacerbated injuries and even loss of limbs. Orthotics add support for feet, reducing the risk of rolling an ankle or sustaining another foot injury. Orthotics can also help those who already have injuries to walk in a way that doesn’t add to the issue.

5. They prevent calluses and corns.

When calluses and corns grow bigger, they can cause serious discomfort and walking problems. Abnormal weight distribution on the feet is often the cause of these issues, making orthotics a great choice for someone looking to reduce or prevent this issue.

6. They prevent the wearing down of skin from diabetic blisters.

For diabetics, there is no such thing as a minor foot wound. Every foot issue must be taken seriously – even the smallest blister can turn into an ulcer, which may require amputation in serious cases.

Orthotics are one way diabetics can prevent or properly care for blisters. Custom fitted inserts can reduce the friction between the foot and the shoe, preventing blisters from developing or worsening.

It’s important that those who are using orthotics for friction management use custom fitted inserts that aligns with their feet. These are often covered by Medicare or insurance for prescription-holding diabetics.

7. Orthotics can realign your feet and ankles, preventing future foot problems.

Orthotics aren’t just for people currently struggling with their feet – they can also be a great preventative measure. Many people push through issues like fallen arches and misaligned ankles, causing them to worsen over time. As soon as your podiatrist notices over-pronation and suggests orthotics, you should start using them (yes, even if you don’t have that much pain yet). This will improve your foot function for years to come.

8. Orthotics allow you to walk for longer periods.

Not only do orthotics help you walk faster, but they can give you more endurance to boot! By improving alignment and posture, the right inserts can make walking and running feel like a lot less work, so you can stay standing or moving for longer periods without fatiguing your body.

9. Orthotics reduce or eliminate foot pain.

foot pain preventionIt’s no surprise that orthotics can make walking more comfortable. After all, they are well-cushioned, shock absorbing, often custom-fitted inserts – what’s not to like?

Still, many people only use their inserts from time to time and forgo consistent use. When you do this, you’re not allowing the orthotics to properly repair your over-pronation and may still feel pain in your feet. Consistent use will allow the orthotics to really make an impact in how you walk, reducing foot pain and preventing injuries.

10. Orthotics can preserve your hips and knees.

As you age, your hips and knees can weaken. It is not uncommon for people to need surgery on these body parts. Whether you are caring for your joints after a surgery or are trying to prevent deterioration to begin with, orthotics are a great option.

11. Orthotics can stabilize any destruction or deformities in the foot.

Orthotics are great for preventing foot issues, but they can also be an important part of healing existing problems. People who have a foot challenge or deformity may struggle to walk in a way that protects their posture, joints, and other parts of their feet.  A podiatrist is an important person to work with to address these issues, and following their advice for care is critical to avoid future challenges.

How do I get custom insoles or orthotics?

There are several different types of shoe inserts, from generic over-the-counter brands to custom fitted insoles with a friction management design. Patients should medical professional to get personalized advice on what types of orthotics are best for their needs. Medicare covers three pairs of custom insoles each year for Americans with diabetes and a prescription, so it’s particularly important (and often free!) for diabetics to look into this option.

If you’re a medical professional or diabetic patient looking for insoles and shoes with direct insurance billing, visit nocostshoes.com.