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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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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