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Medicare does cover podiatry if the treatment is considered medically necessary by a doctor. However, Medicare does not cover routine foot care, such as the removal of corns and calluses or the trimming of nails.
If Medicare covers podiatry care for your feet, you will typically have to pay some out-of-pocket Medicare costs.
A Medicare Supplement (Medigap) plan can help cover podiatry costs that Original Medicare leaves behind, such as deductibles, copays, coinsurance and more.
A Medigap plan can help cover your podiatry costs for Medicare-covered services.Or call now to speak with a licensed insurance agent:
Treatments for the following conditions and diseases are typically covered by Medicare:
Hammer toe surgery
Bunion deformities
Heel spurs
Medicare Part B also covers a foot exam every six months if you have:
Diabetes
Diabetic peripheral neuropathy
Loss of protective sensations
Podiatrists specialize in feet, ankles, and the structures in the leg that are related to feet and ankles. Podiatrists address a range of areas, including sports medicine, wound care, diabetic care and surgeries.
While Medicare may cover some of the podiatry treatments listed above, Medicare does not typically cover routine foot care.
Even if your podiatry service is covered by Medicare, you're responsible for some out-of-pocket costs including:
Part B Deductible
Before Medicare starts paying its share, you’ll have to reach your annual deductible. In 2023, the standard Part B deductible is $240 per year.
Part B coinsurance
Medicare Part B requires that patients share the costs of doctor services after your Part B deductible is met (your Part B coinsurance). It's typically 20% of the Medicare-approved amount for the service.
Part B copayment
If you receive your treatment in a hospital outpatient setting, you can expect to pay a copayment.
Medicare doesn't cover routine foot care. You typically pay 100% out-of-pocket for those services.
Medicare Supplement Insurance (Medigap) plans can help cover some of the Medicare out-of-pocket costs you'll typically face if Medicare covers your podiatry care.
For example, there are up to 10 standardized Medigap plans to choose from in most states, and each type of plan provides full or partial coverage of the Part B coinsurance costs you'll typically face for covered foot care.
A licensed agent can help you decide on a Medicare option that works for you. Call today to speak with a licensed agent and compare the Medigap plans that are available where you live.
Or call 1-800-995-4219 to speak with a licensed insurance agent.
Christian Worstell is a health care and policy writer for MedicareSupplement.com. He has written hundreds of articles helping people better understand their Medicare coverage options.
Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareSupplement.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options.
His work has been featured in outlets such as Vox, MSN, and The Washington Post, and he is a frequent contributor to health care and finance blogs.
Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. He currently lives in Raleigh, NC.
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