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Boca Raton: (561) 447-7571   |   Okeechobee: (863) 357-1166   |   Clewiston: (863) 983-0307

Seminole: (727) 398-6650 | Pasadena: (727) 398-6650 | Largo: (727) 398-6650

Florida Foot Specialists photo of a person wearing pink gloves touching a bare foot with a bunion

Does Medicare Cover Bunion Surgery Cost And Care?

Good news! If you’re a Medicare beneficiary with bunion deformities, Medicare may cover bunion surgery costs. Bunion pain can be debilitating and impact your overall health, so seeking medical treatment is always a good idea.

Medicare Advantage plans can have varying coverage levels, so it’s important to check with your provider to determine the out-of-pocket costs you may incur.

Let’s explore the coverage levels, out-of-pocket costs, and potential risks associated with bunion removal surgery under Medicare.

Does Medicare Cover Bunion Surgery?

Medicare Part A covers inpatient hospital stays, so if your bunion surgery requires an overnight stay, it may be covered under Part A. However, if your bunion surgery is an outpatient procedure, it will typically be covered under Medicare Part B. Medicare Part B covers outpatient services, such as doctor visits, tests, and procedures.

But keep in mind that you may still have out-of-pocket expenses, such as an annual deductible or a copayment.

What Is The General Cost Of Bunion Surgery?

Unfortunately, there is no definitive answer to this question as the cost of bunion surgery can vary widely depending on a number of factors. Factors determining the cost of bunion surgery may include the type of procedure being performed, the geographic region in which it is performed, and whether or not insurance will cover any portion of the costs.

Generally speaking, however, bunion surgery can range anywhere from several hundred to several thousand dollars.

In some cases, insurance may cover some or all of the cost of bunion surgery depending on your individual policy and diagnosis. It is important to contact your insurance company in advance of any procedure so that you can better understand what costs may be covered, as well as the portion you will be responsible for.

It is also important to research your options thoroughly in order to ensure that you are getting the highest quality procedure at a price that fits within your budget. Price should not be the only factor when deciding on a particular bunion surgery, as it is essential to find an experienced and qualified surgeon to perform the procedure.

Overall, it is important to remember that bunion surgery can be a significant financial investment. Careful consideration and research should go into any decision regarding this type of operation in order to ensure you are making the best choice for your own health and well-being.

What Type Of Bunion Surgery Is Covered By Medicare?

Medicare generally covers the most common operation for bunions, which is called a bunion correction or hallux abducto valgus correction.

This surgical technique involves soft tissue and bone cuts at the base of the big toe to realign the joint. In some cases, orthopedic surgeons may also perform arthrodesis procedures to fuse the big toe joint, which may also be covered by Medicare.

Medicare will help cover the cost of medically necessary treatments for foot injuries or diseases, including bunion deformities.

medicare.org

What Makes Bunion Surgery Medically Necessary?

In short, bunion surgery is medically necessary when the deformity is severe enough to cause pain and limit your mobility. Depending on the severity of the bunion problem, you may need surgery right away or only after trying other treatments such as physical therapy or medications.

Your doctor will evaluate your condition and recommend the best option for you.

Preparing For Bunion Surgery Under Medicare

Before undergoing bunion surgery under Medicare, it’s essential to find a podiatrist or orthopedic surgeon who accepts Medicare.

Medicare beneficiaries are free to choose any healthcare provider who accepts Medicare, but it’s important to make sure you’re working with a qualified and experienced healthcare provider. You’ll want to ask your plan provider about coverage levels, potential contraindications, and any out-of-pocket costs you might incur.

Following bunion surgery, you’ll likely need to wear a special shoe or therapeutic shoes for several weeks or months. You may also need physical therapy or range of motion exercises to restore normal activities. Pain medication may be necessary for less pain during the healing process.

Potential Risks

As with any surgical procedure, there are potential risks associated with bunion surgery. Recurrence of the bunion is one of the most common risks.

Additionally, some patients may experience complications such as infections, blood clots, or hammer toe. Diabetic patients with neuropathy should be especially careful, as the long-term use of immunosuppressant drugs may increase the risk of infection.

Frequently Asked Questions

Do you need rehab after bunion surgery?


The answer to this question can vary depending on several factors, including the severity of your bunion, the type of surgery performed, and your overall physical health. Generally speaking, rehab can help improve recovery after bunion surgery. It is important to follow post-operative instructions from your doctor closely in order to optimize healing time and reduce the risk of complications.

Is bunion removal surgery worth it?


Whether or not bunion removal surgery is worth it depends on your particular situation. The benefits of bunion removal can include improved mobility, decreased pain, and better overall foot health. It is important to weigh the risks and benefits involved with any surgical procedure before making a decision. Your doctor should be able to provide more information about the expected outcomes of bunion removal.

Do you wear a boot to bed after bunion surgery?


Your doctor may recommend that you wear a boot or cast to bed after bunion surgery. This helps keep your foot protected and limits the amount of movement during sleep, which can help speed up healing. It is important to follow all post-operative instructions from your doctor closely in order to optimize recovery time.

Conclusion

The ultimate goal of any bunion surgery is to alleviate pain and restore normal shoe wear and biomechanics of the foot. If you’re a Medicare beneficiary with bunion pain, you may be eligible for coverage under Medicare Part A or Part B.

However, the type of procedure and coverage levels will depend on a variety of factors, so it’s essential to consult with your plan provider and healthcare provider before proceeding with surgery.

Remember, routine foot care services such as orthopedic shoes or therapeutic shoes are generally not covered by Original Medicare but may be covered by a Medicare Advantage plan or Medigap policy. For more information about Medicare coverage and bunion surgery, consult the Medicare website or contact a licensed health insurance agent.