When Does Medicare Cover Nail Care?

Medicare only covers routine nail care if you have a qualifying medical condition that puts you at risk for complications, such as infections or ulcers.

You may qualify if you have:

  • Diabetes with complications (neuropathy, poor circulation, foot ulcers)

  • Peripheral vascular disease (PVD) (poor blood flow to the feet)

  • Peripheral neuropathy (loss of sensation in the feet)

  • Chronic venous insufficiency (swelling, ulcers, or wounds)

  • Other serious conditions that prevent safe at-home foot care

Why is this important?

  • These conditions make it dangerous to trim your own nails.

  • If left untreated, minor foot issues can turn into serious infections or ulcers.

  • Medicare covers nail care when it is necessary to prevent medical complications.

 

When is Nail Care NOT Covered by Medicare?

Medicare does not cover routine foot care if it is preventive or cosmetic in nature.

❌ Not covered services include:

  • Trimming or cutting nails for general grooming

  • Treating fungal nails (unless you have a qualifying medical condition)

  • Removing corns or calluses without an associated health risk

  • Routine foot maintenance for comfort or appearance

What Do You Need to Qualify for Medicare Coverage?

To have routine nail care covered by Medicare, you must: 

  • Have a qualifying medical condition (such as diabetes or PVD)
  • Have seen your primary care doctor (PCP) within the last 6 months
  • Have medical documentation showing that nail care is necessary to prevent health risks

 

Frequently Asked Questions

Q: Does Medicare cover nail trimming for fungal nails?
A: Only if you have a qualifying medical condition like diabetes or poor circulation. If you are otherwise healthy, Medicare does not cover fungal nail care.

Q: What if I don’t qualify for covered nail care?
A: If your nail care is not covered by Medicare, you can still receive treatment as a self-pay patient. Call us for pricing information.

Q: How often does Medicare cover foot care?
A: If you qualify, Medicare typically covers foot care services every 10 weeks.