Are you covered by Medicare and suffering from common podiatry concerns? Discover here if and does medicare cover podiatry services.
Did you know the average person walks 100,000 miles over a lifetime? It should be no wonder foot problems cost the US $3.5 billion in health care expenses every year.
The good news is, podiatrists can help. Podiatrists are doctors who specialize in problems of the foot and ankle.
If you’re dealing with a foot problem, you may be wondering: does Medicare cover podiatry? Today, we’re answering that question and more with this guide.
Ready to finally get the care you need to get back on your feet? Then keep reading for everything you need to know about podiatry, routine foot care, and what’s covered under Medicare.
Does Medicare Cover Podiatry?
The first thing to understand about Medicare and podiatry is the difference between podiatry and routine foot care.
Podiatry requires a specialized physician to perform medical foot care. Meanwhile, routine foot care includes filing down calluses, treating flat feet, and clipping nails.
Medicare tends to cover medically necessary treatments performed by a specialist. Only some instances of routine foot care are covered under Medicare.
Medicare Coverage For Routine Foot Care
Routine foot care you receive that’s totally unrelated to an underlying foot condition is routine care. Medicare does not cover most types of routine foot care.
If the routine foot care is a part of managing or treating a medically necessary foot condition, Medicare may cover the care. However, a podiatrist must perform the treatment in both in-patient and out-patient settings.
Medicare Coverage For Podiatric Care
You can receive coverage for in-patient and out-patient podiatric care under Medicare Part A and Part B, respectively.
For the former, you must see a physician at a Medicare-approved health care facility. If you choose to visit a specialist’s office or receive care in your home, Medicare Part B will cover the care.
Medicare Part B provides coverage for:
- Diabetes-related nerve damage
- Foot injuries
- Foot diseases, including hammertoe, bunion deformities, and heel spurs
Remember that your doctor must deem any out-patient podiatric services medically necessary to qualify for Part B Medicare coverage. You must also have seen a doctor at least 6 months before your first podiatric treatment and have documents to prove it.
Once you submit the required documentation, Medicare Part B will cover any foot exams and treatments you need.
You’ll pay 20% coinsurance once you meet your Medicare Part B deductible for in-patient treatments. Out-patient treatments like those in a doctor’s office or at your home will also require a copay.
Enroll in Medicare Today!
So, does Medicare cover podiatry? The answer to this question depends on defining podiatry correctly.
Medicare does cover medically necessary treatments for foot injuries and diseases and nerve damage related to a diabetes diagnosis. Medicare doesn’t cover routine foot care for bunions, flat feet, and other non-medically necessary foot services.
Now that you know your foot condition, injury, or diabetes-related nerve damage is covered under Medicare, are you ready to enroll? Shop and compare 2021 Medicare Advantage Plans today!