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Coverage

Podiatry is a type of care that is performed by a physician, podiatrist (foot doctor), or another Medicare-approved healthcare provider. This care is given for injury, disease, or other medical conditions that may be affecting the foot, ankle, or lower leg.

Medicare does not cover routine foot care, such as corn and callus removal or flat foot treatment. On the other hand, Medicare will cover foot care for complications related to diabetes, such as diabetic neuropathy (diabetic foot) every 6 months. You need to have seen your doctor or endocrinologist at least 6 months prior to seeing a podiatrist.

Medicare will also cover podiatry services when they are used to diagnose or treat a condition, such as hammertoe, heel spur, or bunion.

Costs

If your foot care is covered, you will pay 20 percent of the costs, while Medicare will cover 80 percent. The Part B deductible will apply.

If you receive care in a hospital outpatient setting, the Part A deductible and copay will apply.

What to Know

If you have a Medicare Advantage plan, make sure your podiatrist is in-network before using their services. Medicare Advantage plans may require referrals for certain services, like x-rays.

Medicare By State

Medicare is regulated by the federal government. However, private insurance companies are allowed to offer various parts of Medicare, and these plans can differ from state to state.

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