SAS CoolSTEP foot bed combined with a perforated design on the upper makes VTO a great Medicare and Diabetic approved shoe with enough ventilation to prevent heat under foot. SAS odor-resistant Tripad Technology lend additional support to the three primary pressure points of the foot. Added-depth allows plenty of room for the toes to spread out, and SAS EZ Strap allows a custom fit. Experience the support of VTO. Medicare Approved: This style has met the standards set by Medicare. Please see your doctor for details and qualifications. This item features a removable footbed.