Short answer up top, then the exact rule. Here's what Original Medicare does and doesn't cover for diabetic shoes in 2026 — and where a Medicare Advantage plan can fill the gap.
Quick answer: Yes — but only with severe diabetes-related foot disease. If you qualify, Part B covers one of these per calendar year: one pair of depth-inlay shoes plus 3 pairs of inserts, or one pair of custom-molded shoes (inserts included) plus 2 more pairs of inserts. You pay 20% after the Part B deductible.
Medicare Advantage plans cover therapeutic shoes under the same medical criteria, but set their own copay and network. Some plans also add a general footwear or over-the-counter allowance that's separate from this benefit — useful, but don't confuse the two when you're planning the year.
People with diabetes who have severe diabetes-related foot disease. If you have diabetes without that complication, this specific benefit doesn't apply — but Medicare's separate diabetic foot-care benefit may still cover exams and treatment.
See the current Part A, Part B, and Part D numbers — premiums, deductibles, and the new drug cap — in one place. Free, no signup.
See 2026 Medicare Costs →Once per calendar year, if you qualify. That's either one pair of depth-inlay shoes with 3 pairs of inserts, or one pair of custom-molded shoes (inserts included) with 2 more pairs of inserts when a foot deformity keeps you from wearing depth-inlay shoes.
You need diabetes and severe diabetes-related foot disease. The doctor treating your diabetes has to certify that you need the shoes or inserts, and a podiatrist or other qualified doctor has to order them. Both your doctors and your supplier must be enrolled in Medicare.
Coverage gaps in Original Medicare — like diabetic shoes — are exactly what a Medicare Advantage or Medigap plan is meant to fill. Our free Enrollment Finder shows the window you can switch in, and the guide library walks through the trade-offs. This page is free to share with anyone weighing their options.
Open the Enrollment Finder →This answer is based on U.S. government Medicare coverage rules: