2013 therapeutic shoe bill qualifying apex comfort footwear
Transcription
2013 therapeutic shoe bill qualifying apex comfort footwear
2013 THERAPEUTIC SHOE BILL QUALIFYING APEX COMFORT FOOTWEAR DISTRIBUTED BY EXPLANATION OF BENEFITS MEDICARE’S THERAPEUTIC SHOE BILL Medicare covers diabetic shoes, inserts and modifications for program beneficiaries only if the following criteria are met: (a) the patient has diabetes and one or more of the following conditions: • Previous amputation of the other foot, or part of either foot, or • History of previous foot ulceration of either foot, or • History of pre-ulcerative calluses of either foot, or • Peripheral neuropathy with evidence of callus formation of either foot, or • Foot deformity of either foot, or • Poor circulation in either foot (b) the patient has a prescription for a particular type of footwear (e.g., shoes, inserts, modifications) from a podiatrist or physician who is knowledgeable in the fitting of diabetic shoes and inserts. (c) a “Statement of Certifying Physician for Therapeutic Shoes” from a physician who manages the patient’s diabetes, which certifies that the patient (a) has diabetes mellitus, (b) has at least one of the qualifying conditions (see above), (c) is being treated under a comprehensive plan of care for his or her diabetes, and (d) needs diabetic shoes. Coverage Limitations For Medicare beneficiaries meeting the criteria described above, coverage is limited to one of the following within 1 calendar year: • 1 pair of off-the-shelf depth shoes and up to 3 additional pairs of multi-density inserts. • 1 pair of off-the-shelf depth shoes including a modification, and up to 2 additional pairs of multi-density inserts. • 1 pair of custom-molded shoes and up to 2 additional pairs of multi-density inserts. The above information is as noted by PDAC. Persons and entities participating in the Medicare program are responsible for understanding all applicable Medicare policies before submitting claims for payment to the program, and you should use this publication only as a guide. Justin Blair & Company does not in any way guarantee that any footwear represented will necessarily be reimbursed regardless of its qualifying nature. SHOE STYLES AMBULATOR - STRAIGHT LAST • High, wide toe box • Soft, safe linings help protect the foot from injury • Smartgrip™ polyurethane soles • Multiple insoles provide a 1/2” removable depth ARIYA - CONTOUR LAST • Unmatched forefoot freedom and rear foot stability • Luxurious full grain leather uppers • Mozaic® Customization Technology • Soft, padded collars and firm heel counters LEXINGTON - SEMI-CURVED LAST • Sculpted heel & tailored fit • Mozaic® Customization Technology • Luxurious full grain leather uppers and linings • Polyurethane outsoles • Firm heel counters & soft padded collars NOTICE: FOOTWEAR STYLES SHOWN IN CATALOG MAY BE DISCONTINUED WITHOUT NOTICE 2 ESSENCE - SEMI-STRAIGHT LAST • Snug rear foot and comfortable forefoot • Luxurious soft full grain leather uppers and linings made with moisture transferring polyester fabrics • Mozaic® Customization Technology • Soft padded collars and firm heel counters LENEX - STRAIGHT LAST (X STYLES) • Unmatched forefoot freedom and depth • Mozaic® Customization Technology • Molded external heel counter for support and rear foot control • Highly breathable uppers • EVA midsole allows for easy shoe modification VOYAGE - SEMI-STRAIGHT LAST (V STYLES) • Snug rear foot and forefoot freedom • Mozaic® Customization Technology • Molded external heel counter for support and rear foot control • Highly breathable uppers CONTACT YOUR LOCAL APEX DEALER TO LEARN MORE MEN’S AMBULATOR FOOTWEAR Available Shoe Sizes: 6½ - 13, 14, 15, 16 Available Widths: Medium (C/D), Wide (E/EE), X-Wide (EEE/EEEE); 1/2” Removable Depth B2000 - CLASSIC OXFORD B2100 - CLASSIC OXFORD B2050 - STITCHED OXFORD B2060 - STITCHED OXFORD B2500 - MOC TOE OXFORD B2800 - BOAT SHOE B2900 - BOAT SHOE B3000 - SINGLE STRAP B3100 - SINGLE STRAP NEW B4000 - CHUKKA 4” BOOT 1260 - DOUBLE STRAP B4200 - 6” BOOT VELCRO 1261 - DOUBLE STRAP 1270 - CLASSIC OXFORD B4500 - 6” BOOT 1271 - CLASSIC OXFORD ALL FOOTWEAR SHOWN MEET THE THERAPEUTIC SHOE BILL’S GUIDELINES 3 MEN’S ATHLETIC FOOTWEAR Available Shoe Sizes: 6½ - 13, 14, 15 Available Widths: Medium (C/D), Wide (E/EE), X-Wide (EEE/EEEE); 5/16” Removable Depth V551 - STEALTH V751 - SIERRA TRAIL V753 - SIERRA TRAIL NEW X520 - BOSS AVAILABLE SPRING 2013 X801 - WALKER X920 - WALKER V854 - WALKER 4 X521 - BOSS X522 - BOSS X821 - WALKER X923 - WALKER X926 - WALKER V950 - WALKER CONTACT YOUR LOCAL APEX DEALER TO LEARN MORE X532 - RHINO X826 - WALKER X929 - WALKER V952 - WALKER MEN’S ARIYA (CASUAL) FOOTWEAR Available Shoe Sizes: 6½ - 13, 14, 15 Available Widths: Medium (C/D), Wide (E/EE), X-Wide (EEE/EEEE); 5/16” Removable Depth Y500 - CLASSIC Y600 - SIDE STRAP Y900 - MOC TOE Y800 - TWO STRAP Y910 - MOC TOE MEN’S LEXINGTON (CASUAL) FOOTWEAR Available Shoe Sizes: 7 - 13, 14 Available Widths: Medium (C/D), Wide (E/EE), X-Wide (EEE/EEEE); 1/4” Removable Depth LT500 - CLASSIC OXFORD LT600 - CAP TOE OXFORD LT900 - MOC TOE OXFORD LT610 - CAP TOE OXFORD LT910 - MOC TOE OXFORD ALL FOOTWEAR SHOWN MEET THE THERAPEUTIC SHOE BILL’S GUIDELINES 5 WOMEN’S AMBULATOR FOOTWEAR Available Shoe Sizes: 4½ - 11, 12, 13 Available Widths: Medium (B/C), Wide (D/E), X-Wide (EE/EEE); 1/2” Removable Depth B2000 - CLASSIC LACE B3000 - SINGLE STRAP B3400 - SINGLE STRAP B6000 - MARY JANE B6100 - MARY JANE B6400 - MARY JANE B7000 - STRIPED LACE 1260 - DOUBLE STRAP 1264 - CLASSIC LACE 1270 - LACE CLOSURE 6 T1200 - STRETCHER (MEN & WOMEN) CONTACT YOUR LOCAL APEX DEALER TO LEARN MORE WOMEN’S ATHLETIC FOOTWEAR Available Shoe Sizes: 4½ - 11, 12, 13 Available Widths: Medium (B/C), Wide (D/E), X-Wide (EE/EEE); 5/16” Removable Depth V551 - STEALTH V751 - SIERRA TRAIL V753 - SIERRA TRAIL X521 - BOSS X522 - BOSS X527 - BOSS X532 - REINA X801 - WALKER X821 - WALKER X826 - WALKER X926 - WALKER V854 - WALKER V952 - WALKER ALL FOOTWEAR SHOWN MEET THE THERAPEUTIC SHOE BILL’S GUIDELINES 7 WOMEN’S ESSENCE (CASUAL) FOOTWEAR Available Shoe Sizes: 4½ - 11, 12, 13 Available Widths: Medium (B/C), Wide (D/E), X-Wide (EE/EEE); 1/4” Removable Depth E220 - HILLARY E250 - LAURA E330 - LUCY E360 - JULIA E361 - JULIA E730 - ELIZA E731 - ELIZA E830 - MARY E831 - MARY AVAILABLE IN NARROW WIDTH (A/AA) E335 - LUCY AVAILABLE IN NARROW WIDTH (A/AA) E363 - JULIA AVAILABLE IN NARROW WIDTH (A/AA) E820 - FRANCES AVAILABLE IN NARROW WIDTH (A/AA) (5/16” DEPTH) NEW A100 - BLACK 8 NEW A101 - BROWN NEW A200 - BLACK CONTACT YOUR LOCAL APEX DEALER TO LEARN MORE NEW A201 - BROWN WOMEN’S CASUAL FOOTWEAR Available Shoe Sizes: 4½ - 11, 12, 13 Available Widths: Medium (B/C), Wide (D/E), X-Wide (EE/EEE); 5/16” Removable Depth NEW NEW A300 - BLACK NEW A302 - BONE NEW NEW A350 - STRETCH A301 - PEWTER NEW A700 - PERFED A701 - PERFED QUALIFYING HEAT MOLDABLE INSERTS T40668 - Multi-density orthotics feature a conformable Plastazote 1/8” top cover. The ThermoSKY EVA 3/16” base is light-weight, durable, and heat moldable. Designed to support the longitudinal arch and unload stress at the ball-of-the-foot, while sitting naturally in the shoe. Easy to trim and grind. T40664 - Conformable 1/8” Plastazote top cover with a base made from ED-9 Polyetherdiol urethane, a state-of-the-art heat moldable base compound that absorbs shock forces and cushions the plantar aspect of the foot. Supports the arch and unloads stress at the forefoot while sitting naturally in the shoe. Easy to trim and grind. T40777 - 1/8” Plastazote top with an ED-9 Polyetherdiol urethane base, which is a moldable compound that absorbs shock forces and cushions the plantar aspect of the foot. Resilient and easy to trim and grind. ALL FOOTWEAR SHOWN MEET THE THERAPEUTIC SHOE BILL’S GUIDELINES 9 MEN’S AND WOMEN’S RUNNER FOOTWEAR Available Women’s Sizes and Widths: 5 - 11, Medium (B/C), Wide (D/E), X-Wide (EE/EEE) Available Men’s Sizes and Widths: 7 - 14 Medium (C/D), Wide (E/EE), X-Wide (EEE/EEEE) All Styles: 1/4” Removable Depth Q432W - RX WHITE/BLUE Q434W - RX GREY/COPPER Q438W - RX GREY/CRANBERRY Q433M - RX SILVER/ORANGE Q434M - RX GREY/COPPER Q438M - RX WHITE/RED LOCKDOWN™ HEEL STRAP The adjustable Lockdown™ Heel strap provides a customized fit and allows you to set the rearfoot control to your particlular needs. Available on all Edge Runner Footwear shown below. 10 Q560W - EDGE BLACK Q562W - EDGE WHITE/LIGHT BLUE Q568W - EDGE SILVER/RASPBERRY Q560M - EDGE BLACK Q562M - EDGE SILVER/BLUE Q563M - EDGE GUNMETAL/YELLOW CONTACT YOUR LOCAL APEX DEALER TO LEARN MORE ACCESSORIES Socks and Plantar Fasciitis Relief APEX SEAMFREE SOCKS Apex Seamfree socks are recommended by doctors and pedorthists for diabetic foot protection. The socks are woven from a thin yet strong enough acrylic yarn that allows for a proper shoe fit, as well as from soft spandex to ensure they stay up for the duration of the day. Apex Seamfree Socks are made from soft, hi-tech acrylic fibers that wick-away moisture from the foot. Safe for those with diabetes and poor circulation, they are available in extra-wide for patients who suffer from edema. All styles and colors available in small, medium and large sizes. Men’s Sizes: Small (3 - 7), Medium (8 - 11), Large (12+) Women’s Sizes: Small (4 -8), Medium (9 - 12), Large (13+) WHITE BLACK BROWN NAVY S720 - REGULAR S720X - X-WIDE S700 - REGULAR S700X - X-WIDE S710 - REGULAR S710X - X-WIDE S750 - REGULAR S750X - X-WIDE FOOT PAIN RELIEF SYSTEM Features a Plantar Fasciitis Night Splint designed to comfortably stretch the plantar fascia and Achilles tendon during sleep. Helps reduce the muscle contracture, inflammation and pain associated with the first step in the morning or after periods of rest. Includes a 1/4” heel lift with adhesive. 3101 - WOMEN’S 24 HOUR FOOT PAIN RELIEF SYSTEM 3102 - MEN’S 24 HOUR FOOT PAIN RELIEF SYSTEM RALYN IS A REGISTERED TRADEMARK OF JUSTIN BLAIR & COMPANY 11 SHOES DISTRIBUTED THROUGH ©2013 Justin Blair & Company #18656 4500 W. 31ST ST CHICAGO, IL 60623 (800) 566-0664 www.justinblairco.com
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