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Old 03-03-2010, 02:12 PM
Kitt Kitt is offline
Grand Magnate
 
Join Date: Aug 2006
Posts: 4,440
15 yr Member
Kitt Kitt is offline
Grand Magnate
 
Join Date: Aug 2006
Posts: 4,440
15 yr Member
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Quote:
Originally Posted by MelodyL View Post
HI.

Yes, I'm aware of the information that was stated in these two links. As a matter of fact, I'm going through it myself because I'm a diabetic and I also have neuropathy (although I was extremely lucky and got a handle on it because I take Methylcobalimin every single morning.

In MY case, I am entitled to orthopedic shoes,(I'm not in Alan's category, so I don't need custom molded anything), but diabetic shoes (let's just call them fancy sneakers with big toe boxes), well they are costly. But the HMO will only contribute $88 towards my shoes and my shoes cost much more than $88.00. Other HMO's pay as little as $40 towards the cost of the shoes.

That's why many shoe companies refuse to take the $88.00 and the $40.00 (unless the patient provides the rest of the money).

I'm on Social Security Disability and I grow my own food in my kitchen. If they think I can come up with a co-pay of $100 or more, they are kidding themselves. I mean, what's the use of having insurance if they don't cover SHOES for goodness sake.

Thank god, I don't need custom orthotics like Alan does. I DID need them over 5 years ago because I had a double heel spur (but surprisingly, I have had no problem with this condition for YEARS)

Okay, I just found out who takes care of all these things.

THE CMS
Centers for Medicare Services.

Here's the website

http://www.cms.hhs.gov/

Now THERE'S A LOT OF INFO AND LINKS AND THINGS TO CLICK ON, and there is even a contact link, but after doing that, I have no idea what to do next. I want to contact the people who make the policy, who make the guidelines, and request that they CHANGE the status on not allowing non-diabetics to get shoes and orthotics.

So any of you creative people out there, click on this website, scroll around and if you find a place that I send an email or call (about changing policy), kindly let me know.

I couldn't find it.

Thanks, Melody
Hi Melody,

I am very aware of the situation you and your husband are going thru as I have been following the posts. I should have realized that you more than likely have seen every site there is to see and then some. I should not have included those sites. I am sorry that I did.

I, myself, need custom orthotics, at least to start with, BUT they will not be paid for. I will have to pay out of pocket when I do get them. And they are expensive as we know. I have had to pay out of pocket for needed medical equipment for quite some time.

If I had diabetes, orthotics would be paid for. But I do not have diabetes. I have peripheral neuropathy due to CMT. My feet are VERY sensitive and with the way I walk I could use orthotics but yet orthotics are not paid for. Any kind of shoe is not paid for either.

When the time may come for AFO's for me, and it probably will happen, I believe they do pay something for them. I certainly hope that there is some help for them.

So with all due respect Melody, I do realize that you have been going thru a lot of stressful stuff. I hope you do get a favorable answer soon.
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