Medicare-acceptedcare across8Portlandclinics.

No referral needed for most visits

Traditional Medicare Part B does not require a referral for podiatry or orthopedic visits with an in-network provider. Some Medicare Advantage plans (including HMO-style products) may require a referral or prior authorization for certain procedures — our front-desk team verifies before your visit and handles any required paperwork.

What is and isn't covered

Medicare covers medically necessary care for diagnosed foot and ankle conditions, diabetic foot care, and orthopedic conditions. Routine "wellness" foot care (basic nail trimming without a qualifying medical condition) is generally not covered. Custom orthotics are covered in selected diagnoses (severe diabetic foot, certain biomechanical conditions). We let you know upfront what your specific visit is likely to cost.

Diabetic shoes and inserts

Medicare covers one pair of therapeutic shoes and three pairs of inserts per calendar year for patients with diabetes plus qualifying findings (neuropathy, foot deformity, prior ulcer, calluses, or poor circulation). We fit, dispense, and bill for the program in-office — no separate shoe-store visit.

Care typically covered under this plan

• Foot and ankle exams and treatment
• Diabetic foot care and ulcer prevention (high-priority coverage)
• Therapeutic diabetic shoes and inserts (once per year for qualifying patients)
• Orthopedic evaluation and treatment for shoulder, elbow, hand, wrist, and knee
• Routine nail care for qualifying patients
• Custom orthotics for covered diagnoses
• Surgical podiatry — bunion correction, hammertoe, fracture repair, total ankle replacement

Common questions