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Do I Qualify For Free or Low-Cost Therapeutic Shoes?

You may be eligible for a pair of therapeutic shoes at little or no cost. Simply enter your information in the form below to see if you qualify for coverage.
If you do, Medicare or your insurance provider may cover one pair of shoes and three pairs of heat molded inserts once per calendar year.

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Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Gender*
Date of Birth*
Email*
Phone*

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HELPING SENIORS GET THE FOOTWEAR THEY NEED

Do I Qualify For Free or Low-Cost Therapeutic Shoes?

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Additional/Secondary Insurance

Primary Physician Information (M.D Or D.O Only, Not Podiatrist)