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Resources

Straight answers about Medicare coverage, the Therapeutic Shoe Bill, and everything else people ask us about diabetic footwear.

Medicare coverage guide

How Medicare covers therapeutic shoes

Medicare Part B covers one pair of extra-depth therapeutic shoes and three pairs of custom or heat-molded inserts per calendar year for people with diabetes who meet the coverage criteria. Your eligibility renews every January 1st.

To qualify, all three must be true:

  1. You have been diagnosed with diabetes.
  2. You are being treated under a comprehensive diabetes care plan by your physician.
  3. You have at least one qualifying foot condition: diabetic neuropathy, poor circulation, foot deformity, calluses at risk of ulcerating, current or previous foot ulcers, or partial/complete foot amputation.

What the process requires

  • A prescription and certification from the physician managing your diabetes.
  • A professional fitting by a trained podiatrist, certified pedorthist, or licensed shoe fitter — without it, Medicare will not cover the shoes.
  • Supply through a Medicare-enrolled supplier like No Cost Shoes.

What you'll pay: Medicare typically covers 80% of the approved amount for eligible products once requirements are met. You may owe your annual deductible and 20% coinsurance — and supplemental or secondary insurance may cover some or all of the remainder. Coverage depends on your plan, medical necessity, and current Medicare rules; we verify your exact benefit before anything ships.

Know your benefit

The Therapeutic Shoe Bill, explained

The Therapeutic Shoe Bill is the federal legislation that added therapeutic footwear coverage to Medicare Part B for beneficiaries with diabetes. Congress recognized that proper footwear dramatically reduces foot ulcers and amputations — which are painful for patients and enormously costly to the healthcare system.

Under the bill, qualified beneficiaries are entitled each calendar year to either one pair of extra-depth shoes with three pairs of inserts, or one pair of custom-molded shoes (when a foot deformity can't be accommodated by extra-depth shoes) with two additional pairs of inserts.

The bottom line: if you have diabetes and a qualifying foot condition, this benefit exists specifically for you. Don't leave it unused — check your eligibility in minutes.

FAQs

Frequently asked questions

Do the shoes really come at little or no cost?
If you qualify, Medicare and most insurance plans pay for one pair of diabetic shoes and three pairs of custom-molded inserts per calendar year. Most patients pay nothing beyond any applicable deductible or coinsurance. If you don't qualify, our self-pay program starts around $99.
Does everyone with diabetes qualify?
No — you must also be under a comprehensive diabetes care plan and have at least one qualifying foot condition, such as neuropathy, poor circulation, deformity, calluses, ulcers, or amputation. Our application walks you through it.
How often can I get new shoes?
Once every calendar year. Your benefit resets on January 1st, and we'll send you a reminder when you're eligible again.
Do I need to see my doctor first?
Your physician must certify your need and sign the prescription, but you don't need to arrange that yourself — we prepare and send the paperwork directly to your doctor's office.
Why does the fitting have to be professional?
Two reasons: Medicare requires it for coverage, and diabetic feet genuinely need it. Swelling, deformities, and reduced sensation mean self-sized shoes often fit poorly — exactly what therapeutic footwear is meant to prevent.
What shoe styles are available?
Athletic, walking, casual, and dress styles for men and women, in sizes and widths up to 6E, from trusted therapeutic footwear brands. Your fitter helps you choose styles that match your life.
Which insurance plans do you accept?
We bill Medicare, Medicare Advantage, Humana, UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, and most other major plans directly. Not sure about yours? We'll verify it at no cost.
What if Medicare won't cover my shoes?
You still have good options. Our self-pay program offers therapeutic shoes with specialty inserts starting around $99 — significantly less than typical specialist-office pricing.
See the styles

Browse Our Footwear

Put the coverage to work — these are a few of the 177 styles available through the program.

Browse all 177 styles: men’s shoes · women’s shoes

Find out if you qualify in minutes

No cost. No obligation. We'll check your benefits and handle everything with your doctor and insurance.