Does Medicare Cover Podiatry?
This article was updated on: 09/10/2018
Medicare Part B may cover podiatry. Visits to a foot doctor (podiatrist) may be covered, but not for routine foot care. Generally, Medicare Part B covers podiatry when:
Your doctor determines that this care is medically necessary – for example, you have a foot injury or deformity, or a heel spur or hammer toe
Does Medicare cover podiatry for diabetics?
Medicare Part B may cover a foot exam every six months if you have nerve damage related to diabetes. If you’ve had a podiatry exam for a different foot problem anytime during the past six months, Medicare might not cover a foot exam.
Medicare might cover podiatry services more frequently in certain situations, such as:
- You had an amputation of all or part of your foot, and it was not because of an injury.
- Your foot or feet have changed in appearance, signaling that you might have a foot disease.
If Medicare covers podiatry, what are your costs?
Even if Medicare covers podiatry in your situation, you usually need to pay some cost-sharing amounts.
- The Part B deductible generally applies
- You may have to pay a 20% coinsurance for medically necessary podiatry treatment.
When doesn’t Medicare cover podiatry?
Medicare doesn’t cover routine foot care in most cases. For example, generally cleaning or soaking the feet, trimming the nails, or removing corns or calluses aren’t covered.
Does Medicare Advantage cover podiatry?
Some people decide to sign up for Medicare Advantage plans instead of getting their benefits directly through the government. Since Medicare Advantage (Medicare Part C) delivers your Medicare Part A and Part B coverage through a private, Medicare-approved insurance company, you can expect that your foot care coverage is at least the same as described above. Some Medicare Advantage plans include additional benefits.
Would a Medicare Supplement plan cover podiatry?
Medicare Supplement plans, which are sold by private insurance companies, can help you pay your out-of-pocket costs for services covered under Original Medicare. All the standard Medicare Supplement plans available in most states cover at least a portion of Medicare Part B’s standard copayment or coinsurance amounts.
If you have questions about your Medicare coverage for podiatry or other services, I am happy to help. The Compare Plans or Find Plans buttons can show you some of the plan options you may be eligible for in your area. Click the links below to request a phone call or personalized email.