Medicare Coverage of Foot Care


What It Is

Care by a physician, podiatrist, or other Medicare-approved healthcare provider for injury, disease, or other medical conditions affecting the foot, ankle, or lower leg

What's Covered

Medicare Part B covers medically necessary care for treatment of injury, disease, or other medical conditions affecting the foot, ankle, or lower leg. It covers this treatment if provided by a physician (M.D.) or a Medicare-certified podiatrist (doctor of podiatric medicine, or DPM). This can include treatment for chronic conditions, such as bunion deformities and heel or toe spurs. Medicare Part B doesn't cover routine foot care that's not medically necessary.

Foot examinations for people with diabetes and therapeutic shoes and inserts for people with diabetes-related foot conditions are covered differently by Medicare Part B.

If you have a Medicare Part C Medicare Advantage plan: Medicare Part C Medicare Advantage plans, also called Medicare Advantage plans, must cover everything that's included in original Medicare Part A and Part B coverage. But sometimes a Part C plan covers more, with extra services or an expanded amount of coverage. (Co-payments for Part C plans may also be different than those for Part A or Part B.) To find out whether your plan provides extra coverage or requires different co-payments for foot care, contact the plan directly.

What Medicare Pays

Medicare Part B pays 80 percent of the Medicare-approved amount for covered foot care.

Important: Regardless of the rules regarding any particular type of care, in order for Medicare Part A, Medicare Part B, or a Medicare Part C plan to provide coverage, the care must meet two basic requirements:

  • The care must be "medically necessary." This means that it must be ordered or prescribed by a licensed physician or other authorized medical provider, and that Medicare (or a Medicare Part C plan) agrees that the care is necessary and proper. For help getting your care covered, see FAQ: How Can I Increase the Odds That Medicare Will Cover My Medical Service?

  • The care must be performed or delivered by a healthcare provider who participates in Medicare.

Was this medicareinformation helpful?

18 Comments So Far. Add Your Wisdom.

5 months ago

Do to an fall I had hip replacement. I ended up with one leg longer than the other. to Complicate things I am a Diabetic with peripheral neuropathy . My provider says that Medicare pays for my shoes, and three inserts. but not for the 1/2 and inch lift that I need on my right shoe. I have Medicare A and B plus BBS plan F.


5 months ago

If you are a diabetic and need our toenails or foot care monthly, will medicare Part B pay for it for do you need a doctors order stating due to being a diabetic, a podis, needs to do the trimming.


6 months ago

Will medicare cover routine footcare for home visits for medicare pt. b.


7 months ago

new to medicare. have part 1 and b and USAA supplement F plan. I am a diabetic with cracked heels and I think some toe fungus. Can I make an appointment with a podistist or should I first get a doctor referral first to make sure it will be covered


10 months ago

I have a heel bone spur, and need custom made orthotics so my heel spur does not hit my shoe, doe Medicare cove that? I also wear orthotic for flat feet


10 months ago

Does a diabetic have to wait 61 days for routine foot care such as the cutting of toe nails? We know there is coverage, but does the person have to wait the full 61 days? We can't seem to get a clear picture


over 1 year ago

I see so many diabetics and others in skilled nursing facilities who need toenails clipped. I am a RN with a manicurist license. Will Medicare pay for my services to give nail care services?


over 1 year ago

Does a diabetic have to wait 61 days for routine foot care such as the cutting of toe nails? We know there is coverage, but does the person have to wait the full 61 days? We can't seem to get a clear picture.


over 1 year ago

i have never been to a podiatrist.


over 1 year ago

I suffer from callouses on the soles of my feet, plus corns, bunions & hammer toes. feet are always hurting to the point of being barely able to walk. i have medicare & medicaid. HELP PLZ!!!


almost 2 years ago

I have been going to a podiatrist for the cutting of my toe nails and the care of calluses and corns on my soles and toes. I don't know if this is covered. I recently received a bill and it seems that medicare is only giving ten dolars plus change for each visit. Is this right. I might as well go to get a pedicure at the nail place. It's cheaper.


about 2 years ago

Thanks everyone for your comments. For those with additional questions about what Medicare covers, you may contact the Centers for Medicare and Medicaid services directly here: http://www.medicare.gov/campaigns/caregiver or http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/index.html


about 2 years ago

I have peripheral neuropathy of my left leg and foot. I need to be seen to find a solution for fallen arches causing increased back pain as I have scoliosis. I am unable to wear any shoes with material that touch those areas or sandals with straps that touch my leg or foot. Perhaps some kind of orthotic devise. Because of this problem I am unable to wear shoes or socks except for when I go out when I wear a very loosely tied shoe and have to remove them immediately upon arriving at distination this is very uncomfortable and very cold in winter. Would this be covered by Medicare? Thank You, Jean


over 2 years ago

I see a podiatrist MD every 10 weeks. I have blood test every 3 months antalk to the Doctor to get the results. I see him as needed. At least once a year if the blood tests are within acceptable range. Does this satisfy medicare for coverage. I have had diabetes for 51 years. I am 65 years old.


over 2 years ago

I am a 70 yr. old woman and have advanced osteoporosis. About 5 wks ago I stepped on my right foot and it broke in two places. I am being treated by an MD podiatrist. Will Medicare pay for the special inserts that I have to wear in my shoes. I also have part B insurance.


over 2 years ago

I havee a serverly crushed left foot and amputated small toe. I need a cushened shoe/boot, heavyduty walker, portable ramp, safety shower bars, scooter/chair, ankle support/brace, compression stockings, and cane....can or will medicare cover any of these necessities... .if so, how do I go about recieving them


almost 3 years ago

Great information for all in the family.


over 3 years ago

In a skilled nursing facility, which part of medicare covers routine footcare by a podiatrist when the patients stay is covered by medicare A? When the patient's stay is no longer covered by medicare A and they become a medicaid patient, will medicare A, medicare B or medicaid cover routine footcare?


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