This style is a Medicare and Diabetic approved shoe. Speed through the week and straight into the weekend with the lasting comfort of the SAS Guardian Non-Slip shoe. Waterguard water-resistant leather uppers with a round toe. Traditional lace-up closure for an adjustable and secure fit. Lightly cushioned collar for added comfort. Soft and breathable mesh linings. A removable SAS CoolStep Footbed features an anti-friction lining that provides a cool surface underfoot with a moisture-wicking bottom layer designed to keep your feet cool and dry. Features removable and odor-resistant SAS Tripad Cushions designed to comfort all three pressure points: the inside ball, outside ball and heel for all-day support. Features a durable, non-marking, and slip-resistant X-Tra Grip Sole that meets or exceeds Mark II testing method for wet and oily conditions. Made in the U.S.A. Medicare/HCPCS code = A5500 diabetic shoe.