List of accepted insurances: (Medicare Podiatrist)
Insurances, and plans are always changing, please call us at 727-842-9504 to confirm
Aetna – all plans
Anthem Blue cross Blue shield
Avmed (First health)
Blue cross Blue Sheild of Florida (PPO, EPO, Blue Value)
Cigna (HMO, PPO, POS, Open access)
Coventry Healthy Care
Dept of Labor
First Health (PHCS)
Florida Healthy kids (simply)
Group Health Cooperative
Humana EPO and PPO
Mail hanglers insurance
National association of letter carriers
Simply Health care
VA community care (optum) Region 3
VA health net
United Health care
Medicare Podiatrist coverage:
Medicare does cover podiatry services, which are services provided by podiatrists who specialize in diagnosing and treating conditions of the foot, ankle, and lower leg. To receive Medicare coverage for podiatry services, you must meet certain criteria, including having a medical need for the services.
Medicare Part B (Medical Insurance) covers certain medically necessary podiatry services, including:
- Treatment of foot injuries or diseases (such as diabetic foot care)
- Treatment of foot conditions that require surgical intervention (such as hammertoes or bunions)
- Routine foot care (such as nail trimming and callus removal) for individuals with diabetes, nerve damage, or other qualifying conditions
To receive coverage for podiatry services under Medicare, you must visit a podiatrist who accepts Medicare assignment. This means that the podiatrist has agreed to accept the Medicare-approved amount for services as full payment, and you will not be responsible for any additional charges beyond the Medicare-approved amount. Please note Dr. Zafar does accept Medicare, including advantage plans.
Medicare Podiatrist Nail coverage:
Medicare does cover nail care services provided by a podiatrist, but only in certain circumstances. Medicare Part B (Medical Insurance) covers nail care services that are deemed medically necessary and are directly related to a foot problem or condition.
For example, if you have a medical condition such as diabetes, peripheral artery disease, or neuropathy that affects the blood flow or nerve function in your feet, you may be eligible for Medicare-covered nail care services. These services may include trimming and debriding (removing dead or infected tissue) of toenails, treatment of ingrown toenails, and removal of corns or calluses.
However, routine nail care services, such as regular nail trimming or polishing, are not covered by Medicare. In addition, Medicare does not cover nail care services that are solely for cosmetic purposes.
Medicare Podiatrist Diabetic Shoes:
Medicare may cover therapeutic shoes and three foam inserts for individuals with diabetes who have certain foot conditions. Medicare Part B may cover one pair of custom-molded shoes and up to three pairs of inserts per year for individuals with diabetes who meet certain requirements.
To be eligible for coverage, the individual must have diabetes and one or more of the following conditions:
- Partial or complete foot amputation
- Past foot ulcers
- Pre-ulcerative calluses
- Peripheral neuropathy with evidence of callus formation
- Foot deformities
To receive coverage, the individual must also have a written order from their doctor, and the shoes or inserts must be provided by a Medicare-approved supplier.
It’s important to note that not all diabetic shoes or inserts will be covered by Medicare, and some suppliers may require a co-payment. It’s also important to talk to your doctor and supplier about any additional costs or requirements before ordering diabetic shoes or inserts. Call us today to make an appointment.