Does Medicare Pay for Bunion Surgery?
Fair Square Medicare

Does Medicare Pay for Bunion Surgery?

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By Daniel Petkevich

Nov 29, 2022

Check out how to save on your procedure

Bunions are a very common and annoying issue in the feet of many Americans. In fact, about 35% of Medicare eligible Americans have a bunion. If it gets severe enough to where you need bunion surgery, you can get Medicare coverage for it. But how can you avoid out of pocket costs? Let's find out.

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What are bunions and what causes them to form?

Bunions are bony bumps that form at the base of the big toe due to inflammation and pressure. Bunions are caused by genetics, injuries, or wearing shoes that do not fit correctly.

How do you know if you need bunion surgery?

If you are experiencing pain and swelling in your toes and the bunion is making it hard to walk, then it might be time for you to consider getting bunion surgery. In addition, if there are other medical conditions that could be affected by the presence of a bunion, like arthritis or joint instability, then surgery may also be recommended.

Does Medicare cover bunion surgery?

Yes, Medicare should cover your surgery. Generally this is done in an out-patient setting, so it will be covered by Part B. To get Medicare coverage for bunion surgery, you will need to submit a request with your doctor's orders. After the request is processed, you will be able to set up an appointment with your surgeon and have the procedure done.

You may also be required to provide proof of medical necessity in order for Medicare to cover the procedure. If you get the surgery, Medicare will cover 80% of the cost after you have paid your Part B deductible.

How can you avoid out-of-pocket costs?

If you can get a Medicare Supplement Plan G, you can avoid more out-of-pocket costs. All you will be responsible for is the Part B deductible.

What are the costs associated with bunion surgery?

The cost of bunion surgery can vary depending on where you get it done and what type of procedure is needed. Generally, the average cost of a bunion surgery can range from $3,000 to $6,000. The coinsurance of 20% of that can be a substantial number, so Plan G can save you money.

What are the risks and benefits of having bunion surgery?

The main risk of having bunion surgery is infection. Other risks include excessive bleeding, nerve damage, blood clots, and scarring. However, the benefits of having bunion surgery can outweigh the risks in some cases. The procedure could help reduce pain and discomfort associated with bunions as well as improve mobility and range of motion in the foot.

How long will it take for you to recover from surgery?

Recovery from bunion surgery can take anywhere from two to four months. During this time, you should keep your foot elevated and avoid putting any pressure on it. You may also need to wear a walking boot or a splint for the first few weeks after surgery.

Will you have to follow any special instructions after surgery?

Your doctor may provide you with a list of instructions to follow after your surgery. These instructions could include avoiding certain activities, wearing special shoes, and taking medications. It is important that you follow these instructions carefully in order to ensure a successful recovery from bunion surgery.

Are there any alternatives to surgery that might help relieve your pain?

If your bunion is not severe enough to require surgery, there are a few alternative treatments available. These include rest, anti-inflammatory medications, corticosteroid injections, and orthotics or special shoe inserts. You should talk to your doctor about which option would be best for you.

Conclusion

For such a common issue, it's a relief that Medicare offers coverage for bunion surgery. Talk with your doctor to make sure that surgery is the right option for you. This content is for informational purposes only. For help in finding the best Medicare plan for you year after year, call us at Fair Square Medicare today.

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