Medicare coverage is available for many necessary podiatry-related services. A podiatrist can help many patients with diabetes, arthritis, and other conditions that cause foot, leg, and ankle issues. However, Medicare does not cover routine foot care such as corns, calluses, or nail trimming. If Medicare does cover some podiatry care, you will typically still have some out-of-pocket costs.
A Medigap plan (Medicare Supplement) can help cover some of the podiatry costs that Original Medicare leaves behind, like deductibles, copays, coinsurance, etc.
These are some of the conditions and diseases Medicare typically covers for podiatry:
- Heel spurs
Medicare Part B will also cover a foot exam biannually if you have diabetes, diabetic peripheral neuropathy, or loss of protective sensations. Podiatrists are doctors who specialize in feet, ankles, and structures in the leg related to them. They address various things such as sports medicine, wound care, diabetic care, and surgeries.
Even if Medicare covers your podiatry services, you will still face some out-of-pocket costs.
Part B Deductible
Before Medicare starts paying its share, you must meet the annual deductible, which is $203 in 2021.
Part B Coinsurance
Medicare Part B Requires that patients share the cost once the deductible is met. Your Part B coinsurance is typically 20% of the Medicare-approved expenses.
Part B Copayment
If you receive outpatient treatment, expect to pay a copayment.
Medicare Supplements can cover some of your out-of-pocket costs. There are up to 10 standardized Medigap plans to choose from on almost every state, and each type will provide at least partial (sometimes full) coverage of the Part B Coinsurance costs that you would otherwise face.
Still not sure if your needs are covered? Call Medicare Pathways today to speak to one of our team members to help you figure out what plan would be best for you and your budget.