I have recieved 2 individual "extra depth" shoes and 6 individual full contact custom heath molded inserts. I am satisfied with the fit and authorize Medicare and my supplemental insurance carrier to pay Dr. Ajrouche directly.
I understand that Medicare pays for up to one pair of shoes (2 individual shoes) and 3 pair inserts (6 Individuals) per calender year. I understand that I an responsible for any deductible and unpaid balance that Medicare or my co- insurance does not cover. I have not recieved any other shoes or inserts under this plan from any other supplier in the past year.