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does medicare cover plantar fasciitis

Does Medicare Cover Plantar Fasciitis?

Plantar Fasciitis is very painful. The good thing is that, in most cases, it doesn’t last very long. And there are several ways to treat it.

If you have plantar fasciitis, a common question many people have is, “does Medicare cover plantar fasciitis?” In this article, we answer the question in clear, plain English. You will also find the average costs of plantar fasciitis, as well as other helpful info.

Does Medicare Cover Plantar Fasciitis?

The short answer is yes; Medicare will cover the cost of treatment for plantar fasciitis. But not 100% of the time. As is often the case with Medicare, certain conditions have to be met for Medicare to pay for your treatment for plantar fasciitis. Below we look at what these are so you know what to expect.

Original Medicare (Medicare Part A and Part B) will provide coverage for your most plantar fasciitis treatments. However, for Medicare to cover it, you and your healthcare provider will need to prove that it is medically necessary. You will most likely need to get a prescription or order from your doctor for the treatment.  

Medicare Part B provides coverage for orthotics which are one of the common ways to treat plantar fasciitis. Orthotics are considered Durable Medical Equipment (DME), and Part B will provide coverage for it if considered medically necessary.

Medicare Advantage plans (Medicare Part C) will also provide coverage for plantar fasciitis treatment. These plans cover everything Original Medicare covers and then some. But each plan differs in exactly what they cover. If you have an Advantage plan (or are shopping for one), reach out to your plan provider to find out exactly what your plan covers.

How Much Does Treatment For Plantar Fasciitis Cost?

Custom-made orthotics can cost from $300 to $600. Over-the-counter orthotic options, however, usually cost between $10 and $200.

Surgery for plantar fasciitis may cost $10,000, including surgeon fees, facility fees, and follow-up care.

What Is Plantar Fasciitis?

This condition is one of the most common causes of heel pain. It occurs when there is an inflammation in your plantar fascia.

The plantar fascia is the tissue that connect the bones on your heel to your toes under your foot. The pain can be described as a stabbing pain that you may feel when you take your first steps after waking up. However, it may also occur after standing for a long period.

The good thing is, the pain may not last throughout the day, and you may not feel it after getting up and moving.

Who Is Most Likely To Suffer From Plantar Fasciitis?

Plantar fasciitis often occurs in runners who run long distances. People who are overweight, those who over 40 years old and people who wear shoes without enough support are also at risk of having plantar fasciitis.

Plantar Fasciitis Treatments

Simple stretching and exercises for the foot can prevent plantar fasciitis. Wearing shoes with enough arch support will also help as well as wearing a splint before going to sleep.

Other than that, you can buy orthotics if you already are suffering from plantar fasciitis.

For the most severe cases of plantar fasciitis, you may need surgery.

Note: Medicare coverage changes all the time. And your specific coverage may vary from plan to plan for Medicare Advantage and Medigap plans. Always be sure to double check with your health care provider and/or Medicare insurance provider about what your plan covers and what it does not.

Additional Info on Medicare Coverage

This article is part of our series on “What does Medicare cover?”

Also, you can check out other articles in this series including: Does Medicare cover raised toilet seats?

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