Best Podiatrists That Will Accept Medicare (2024)
Medicare podiatry coverage can help pay for foot care, but not everything is covered. Medicare will cover procedures and routine care for people that can prove medical necessity. This includes diabetics and people suffering from foot injuries or diseases, such as hammer toe or bunion deformities. Podiatrists that accept Medicare can be found in every state and can help you figure out if Medicare will cover your treatment.
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Ty Stewart
Licensed Insurance Agent
Ty Stewart is the founder and CEO of SimpleLifeInsure.com. He started researching and studying about life insurance when he got his first policy for his own family. He has been featured as a life insurance expert speaker at agent conventions and in top publications. As an independent licensed life insurance agent, he has helped clients nationwide to secure affordable coverage while making the...
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UPDATED: Oct 24, 2024
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UPDATED: Oct 24, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Podiatry services aren’t always covered by Medicare, especially routine foot care
- Medicare will cover podiatry services for diabetics and anyone who can prove medical necessity
- The price of podiatry services varies by your insurance coverage, the doctor’s prices, and the facility you go to
Your feet get the short end of the stick. Standing or walking, feet go through a lot of stress, but they often receive less care than body parts closer to your face.
You can realize how much you take their feet for granted once something goes wrong with them. When that happens, you’ll want to see a podiatrist fast.
Just as with all healthcare, podiatry services can be expensive without insurance. More than 60 million people rely on Medicare for their health insurance coverage. The question is, “Where are podiatrists that accept Medicare near me?”
Looking for quotes from podiatrists that accept Medicare can be a challenge by yourself. If you’re ready to start looking at quotes, enter your ZIP code into our free tool to begin.
Podiatrists That Accept Medicare
Finding affordable podiatrists that accept Medicare can be tricky because many podiatrist services aren’t covered by Medicare or Medicaid.
Read more:Best Acupuncturists That Will Accept Medicare
To be eligible for Medicare, podiatry services need to be medically necessary.
Average Cost of Foot Procedures With and Without Medicare
Service | Average Cost Without Insurance | Medicare Covered? |
---|---|---|
Bunion Deformity | $5,560 | Yes |
Corn/Callous Removal | $400 | No |
Diabetic Foot Care | $8,659 | Yes |
Foot Cleaning | $35 - $60 | No |
Hammer Toe | $500 ($20,000 for surgery) | Yes |
Heel Spurs | $4,000 | Yes |
Ingrown Toe Nails | $250 - $500 ($1,000 for nail removal) | Sometimes |
Nail Trimming | $35 - $40 | No |
As you can see, Medicare podiatry coverage includes those procedures that would affect your quality of life.
Podiatry services are especially important for diabetics. More than 34 million Americans have diabetes, and about half of them suffer from nerve damage.
Bunion deformities, heels spurs, and hammer toe are also amongst the treatment services covered by Medicare. Unless you can prove medical necessity, routine foot care is not covered. (For more information, read our “Does Medicare cover bunion surgery?“).
Affordable podiatrists that accept Medicare vary state by state, but you’ll be able to find a doctor that can help you.
The best way to see if a podiatrist accepts Medicare or Medicaid is to ask. If a podiatrist does not accept Medicare, they should be able to point you in the right direction.
Why are diabetics covered for podiatry services by Medicare?
It may seem unfair that diabetics get coverage for podiatry services that other people don’t. To understand why, you should understand the nature of diabetes and how it affects the feet.
One of the long-term effects of diabetes is neuropathy, or nerve damage. While high blood sugar levels can damage nerves anywhere in your body, it often starts in the feet.
Diabetic neuropathy can cause pain, numbness, cramps, ulcers, infections, and bone or joint pain. Diabetic damage to the feet can lead to amputation.
Since diabetes can damage feet, doctors suggest that diabetics get their feet examined once a year. Annual examinations can save diabetics a lot of pain.
Medicare recognizes the importance of foot care for diabetics, which is why they cover most podiatry services.
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How much do podiatrist services cost with Medicare?
How much you will be charged depends on the service you need, but there are some general guidelines you can expect.
Medicaid will reimburse you for diagnosis services and treatments for foot and ankle problems that are medically necessary.
Medicare, on the other hand, helps you pay upfront. You’ll still be responsible for up to 20% of the approved Medicare amount, and the Part B deductible will apply.
Outside of the cost of individual services, you might have to pay for Medicare when you turn 65, especially for part B Medicare. Part B is what covers podiatry services, so you might end up with a monthly payment.
How are the prices of podiatry services calculated?
Many factors that determine how much a service will cost.
- Other Insurances: If you have private insurance outside of Medicare, they may cover the rest of the cost of your treatment, or at least part of it.
- Type of Facility: Whether you go to a clinic or a hospital, the place you receive service will affect the price of your healthcare.
- Your Doctor: Doctors charge different prices for the services they offer, and the difference can be startling.
It can seem like doctors push you through the process of getting healthcare, but you should ask for a price breakdown. Service rates from podiatrists that accept Medicare are easy to understand once your doctor explains everything.
Find the Best Podiatrist That Accepts Medicare
When you’re wondering, “Is there a Medicare podiatrist near me?” the answer is probably yes. Most podiatrists will work with Medicare patients. As long as the service is medically necessary, Medicare will probably cover it.
Ready to find podiatrists that accept Medicare? Enter your ZIP code into our free tool to get started looking at quotes today.
Frequently Asked Questions
What is a podiatrist?
A podiatrist is a medical professional who specializes in diagnosing and treating conditions related to the feet and ankles. They can provide a range of services, from routine foot care to surgery.
How do I find a podiatrist that accepts Medicare?
You can search for a podiatrist that accepts Medicare by using the Medicare Physician Compare tool on the Medicare website. You can also contact your local Medicare office for assistance.
What types of foot conditions do podiatrists treat?
Podiatrists can treat a wide range of foot and ankle conditions, including bunions, corns and calluses, plantar fasciitis, heel spurs, ingrown toenails, and diabetic foot complications.
Will Medicare cover the cost of seeing a podiatrist?
Medicare will typically cover the cost of medically necessary foot care, such as treatment for a foot injury or disease. However, routine foot care, such as nail trimming or callus removal, is generally not covered unless it is necessary due to a medical condition.
Will I have to pay anything out of pocket if I see a podiatrist that accepts Medicare?
It depends on your specific Medicare coverage. You may be responsible for a co-payment or deductible, or you may have coverage that pays for 100% of the cost of the visit.
What types of services will Medicare cover when I see a podiatrist?
Medicare will typically cover medically necessary services related to the treatment of foot and ankle conditions, such as nail care, foot exams, and treatment for conditions like hammertoe, plantar fasciitis, and diabetic foot problems.
Will Medicare cover the cost of orthotics or other foot devices prescribed by a podiatrist?
Medicare may cover the cost of medically necessary orthotics and other foot devices prescribed by a podiatrist. However, coverage may vary depending on your specific Medicare plan.
Can I see a podiatrist without a referral from my primary care physician?
In most cases, you do not need a referral from your primary care physician to see a podiatrist that accepts Medicare. However, some Medicare Advantage plans may require a referral.
Can I switch podiatrists if I am not satisfied with the care I am receiving?
Yes, you are free to switch podiatrists at any time. However, you may want to check with Medicare to ensure that your new podiatrist accepts Medicare and is considered “participating.”
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
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Ty Stewart
Licensed Insurance Agent
Ty Stewart is the founder and CEO of SimpleLifeInsure.com. He started researching and studying about life insurance when he got his first policy for his own family. He has been featured as a life insurance expert speaker at agent conventions and in top publications. As an independent licensed life insurance agent, he has helped clients nationwide to secure affordable coverage while making the...
Licensed Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.