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Medicare Coverage for Foot Pain | Dr. Tom Biernacki Michigan

Quick answer: Foot Pain Medicare Coverage has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The most common causes we identify are overuse, ill-fitting shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.

Medicare Coverage for Foot Pain

Medicare provides good foot care coverage. Covered: visits, X-rays, procedures, surgery, diabetic foot exams (annual), therapeutic shoes/inserts (Therapeutic Shoe Bill — qualifying patients), routine foot care (diabetics with neuropathy). Self-pay common: shockwave, MLS, PRP.

Medicare Specifics

Annual diabetic foot exam: 100% covered. Therapeutic Shoe Bill: 80% covered (1 pair shoes + 3 pairs inserts annually for qualifying diabetics). Routine nail care: covered every 9 weeks for diabetic patients with neuropathy. Bunion surgery: covered with documentation. Custom orthotics: limited coverage (mostly diabetic).

FAQ

Does Medicare pay for diabetic shoes?

Yes — 80% under Therapeutic Shoe Bill for qualifying patients.

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Frequently Asked Questions

When should I see a doctor?

See a podiatrist if pain persists past 2 weeks, prevents normal activity, or is accompanied by red-flag symptoms (warmth, swelling, numbness, inability to bear weight).

Can I treat this at home?

Mild cases respond to RICE protocol (rest, ice, compression, elevation), supportive shoes, and OTC anti-inflammatories. Persistent symptoms need professional evaluation.

How long does it take to heal?

Most soft tissue injuries resolve in 2-6 weeks with appropriate care. Bone injuries take 6-12 weeks. Chronic conditions need longer-term management.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.