Best Podiatrists That Accept Medicare in 2021
When you’re looking for podiatrists that accept Medicare, you can speak with your plan provider or visit the Medicare website. Not all podiatry services are covered by Medicare. Only services that are considered medically necessary will be covered (determined based on preexisting conditions and how much the issue is affecting your ability to live normally). Preventive and routine care is excluded, which you’ll need to keep in mind when searching for podiatrists that accept Medicare.
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UPDATED: Nov 24, 2021
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When you’re looking for medical care and the best insurance companies, you probably have questions, and you’ve come to the right place.
Are there differences between what’s covered by standard health insurance and Medicare? Are there podiatrists that accept Medicare? What about podiatrists that accept Medicaid near me? Where can I find a Medicare podiatrist near me?
Read this article for everything you need to know about Medicare podiatry coverage, podiatrists that accept Medicare, and more.
If you’re ready to jump into this discussion on podiatrists that accept Medicare, why not get started by using your ZIP code in our tool to get a free quote on health insurance right now?
Are there podiatrists that accept Medicare?
Podiatrists do accept Medicare, but there are limits on the types of services that Medicare covers. For example, Medicare does not cover standard foot care like nail trimming, preventive maintenance, corn and callus removal, etc.
However, if you have a preexisting medical condition like diabetes, podiatry may be medically necessary. In that case, most services and treatments will be covered (at least partially) by your Medicare plan.
Additionally, even if you don’t have diabetes (or another medical condition), some podiatry services may be covered by Medicare if they’re considered medically necessary. Medicare determines this based on your eligibility and circumstances.
Potentially covered treatments/services include:
- Bunion surgery
- Hammertoe surgery
- Ingrown toenail treatment
- Toenail fungus treatment
In nearly all cases, the condition must be causing debilitating pain or other problems like balance or infection for your Medicare to cover the cost.
As might expect, many podiatrists accept Medicare. Keep reading to discover how you can find podiatrists that take Medicare where you live.
How can you find out which podiatrists accept Medicare?
As we noted in the previous section, not all podiatry services are covered by Medicare, so you’ll need to make sure what you’re looking for is a covered service.
However, since Medicare covers some podiatry services, there are ways to find podiatrists who are enrolled in and accept Medicare. You can:
- Speak with your Medicare plan provider to find out which podiatrists in your area are in-network
- Download the Medicare “What’s Covered” app to search for covered services
- Search the Medicare.gov site for a complete list of the podiatrists in your area that accept Medicare
Keep reading for a brief discussion on how much you could pay for Medicare-covered podiatry services.
How much will you have to pay for Medicare-covered podiatry?
Depending on the treatment or service and the type of Medicare coverage you have, your costs may vary. Under Original Medicare (Medicare Part A and B), anything fully covered will be at no cost to you.
In some cases, you’ll need to pay a coinsurance of 20% unless you have additional coverage (like a Medigap plan).
If you have a Medicare Advantage plan, your costs depend on the service or treatment and the payment structure set by your plan provider. This differs from Original Medicare because private companies administer Medicare Advantage plans rather than the federal government.
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Podiatrists that Accept Medicare: The Bottom Line
Medicare covers medically necessary podiatry treatments and services, but not routine or preventive foot and ankle maintenance.
As a result, there are podiatrists that accept Medicare. You need to speak with your plan provider or visit the Medicare website to find Medicare-enrolled podiatrists in your area.
Before you leave this overview of podiatrists that accept Medicare, why not enter your ZIP code in the tool on this page to get a free quote on health insurance today?
Frequently Asked Questions: Podiatrists that Accept Medicare
Do you still have questions about podiatrists and Medicare? If so, you can read these frequently asked questions for more information.
#1 – Are there podiatry services that Medicare doesn’t cover?
Medicare does not cover standard podiatry care like:
- Annual check-ups and preventative care
- Toe-nail clipping
- Feet cleaning
- Corn and callus removal
- Flat foot treatment
However, as we noted earlier, there may be exceptions if the symptoms you’re experiencing result from other conditions like diabetes or if your regular medical doctor determines a treatment or service is medically necessary.
#2 – How often should you see a podiatrist?
Podiatrists recommend individuals visit a podiatrist at least once a year for a check-up. Annual check-ups are a preventative measure to catch any issues and correct them early. Individuals should also visit a podiatrist as soon as possible if they experience any foot or ankle injury or any unusual or unexplained symptoms in their foot or ankle.