No Cost Shoes Do I Qualify?

You may be eligible for shoes - at no cost to you! Enter your information in the form below to find out if you qualify for shoe coverage. Medicare or your insurance provider may cover the cost of one pair of shoes and three pairs of custom or heat molded insoles per calendar year. Find out if you qualify now!

To expedite the ordering process, please make sure you fill out the application completly. You will need to add your insurance and doctor's information.


  Patient Demographics
  Insurance Information
  Physician Information
  Enjoy your new shoes!

Are you a NEW or RETURNING patient?