Not every foot problem requires expensive treatment, but ongoing conditions often need regular professional care. From diabetes-related foot concerns to persistent heel pain and mobility issues, many Australians wonder whether Medicare can help reduce the cost of seeing a podiatrist.
So, is podiatry covered by Medicare? The answer is yes for eligible patients who have a Chronic Disease Management Plan arranged through their GP. Under this program, Medicare may contribute towards up to five allied health visits each calendar year, including podiatry services.
Understanding how Medicare podiatry coverage works can help you reduce out-of-pocket costs and access the care you need sooner. In this guide, we’ll explain who qualifies, how to get a referral, what rebates are available, and how to make the most of your Medicare-supported visits at St Martins Podiatry Clinic.
Understanding How Podiatry Services Are Covered by Medicare
Many people wonder, does Medicare cover podiatry, and are podiatrists covered by Medicare for routine appointments? The answer depends on your medical circumstances.
Medicare generally does not pay for standard foot care appointments unless they form part of a broader healthcare plan for managing chronic conditions. This support falls under the Medicare Benefits Schedule (MBS) and is designed to help patients who require ongoing care from multiple healthcare providers.
Under a Chronic Disease Management Plan, eligible patients may receive Medicare rebates for certain allied health services, including podiatry services.
This means Medicare podiatry coverage may apply if:
- You have a chronic condition lasting six months or longer
- Your condition requires ongoing management
- Your GP prepares the appropriate care plans
- Team Care Arrangements are in place
Common conditions that may qualify include diabetes, arthritis, cardiovascular disease, neurological disorders, and long-term mobility issues.
Medicare rules and rebate amounts can change, so it is always worth checking the latest eligibility requirements directly through government resources.
Who Is Eligible for the 5 Free Podiatry Visits via Medicare?
One of the most common questions is whether patients can receive 5 free podiatry visits Medicare supports each year.
While these visits are often called “free visits,” Medicare actually provides a rebate toward the cost of treatment. Depending on the clinic’s fees, there may still be a small gap payment.
To qualify, you generally need:
- A chronic medical condition
- Ongoing treatment needs
- A referral from your General Practitioner (GP)
- A Chronic Disease Management Plan
- Team Care Arrangements involving multiple healthcare providers
Examples of qualifying chronic conditions include:
Diabetes
Diabetes can affect circulation and nerve function, increasing the risk of ulcers, infections, and other foot complications.
Arthritis
Joint pain and mobility limitations can place additional stress on the feet and ankles.
Chronic Circulatory Conditions
Reduced blood flow can make it harder for the body to repair damaged tissue, which may leave feet more vulnerable to injury and infection.
Neurological Conditions
Conditions affecting balance, sensation, or muscle function may require regular podiatry monitoring.
The decision about eligibility is made during a consultation with your GP, who assesses whether a coordinated care approach is appropriate.
The Step-by-Step Process: Is Podiatry Covered by Medicare for You?
If you’re wondering whether Medicare can help with the cost of podiatry treatment, the process starts with your GP. Following the correct steps ensures you can access available rebates and make the most of your eligible visits.
Step 1: Visit Your GP
Book an appointment with your GP to discuss your chronic condition and any foot-related concerns.
Step 2: Discuss a Management Plan
If appropriate, your doctor may prepare a Chronic Disease Management Plan, previously known as an Enhanced Primary Care plan.
Step 3: Confirm Team Care Arrangements
Your GP may coordinate Team Care Arrangements involving different healthcare professionals, including a Medicare podiatrist.
Step 4: Book Your Podiatry Appointment
Once your referral is in place, contact St Martins Podiatry Clinic and arrange your podiatry appointment.
Step 5: Receive Treatment and Claim Your Rebate
Following your consultation, your Medicare rebate can usually be processed quickly through HICAPS or Medicare claiming systems.
Once the paperwork is in place, arranging treatment becomes much simpler and allows you to focus on managing your condition rather than navigating the system.
Maximising Your Medicare Podiatry Coverage at St Martins Clinic
Not all podiatry visits are the same. At St Martins Podiatry, we focus on helping patients use their allocated visits effectively.
Depending on your needs, Medicare-supported appointments may include:
Diabetic Foot Assessments
Regular monitoring can help identify problems before they become serious complications.
General Podiatry Care
Our general podiatry services help manage nail conditions, skin concerns, foot discomfort, and mobility issues.
Vascular and Neurological Checks
These assessments help monitor circulation and nerve function, particularly for diabetic patients.
Sports and Biomechanics Assessments
Foot posture, walking patterns, and movement issues can contribute to ongoing pain and injury risk.
Ingrown Toenail Management
We provide professional treatment options, including advanced solutions such as Bracenfix for suitable patients.
Since the number of subsidised visits is capped each year, it makes sense to prioritise appointments that deliver the greatest benefit for your foot health.
How Much Is the Medicare Rebate for Podiatry in 2026?
Another common question is: does Medicare pay for a podiatrist and how much financial assistance is available?
The rebate amount changes periodically under the Medicare Benefits Schedule. In 2026, the rebate is generally around $61.80 per eligible podiatry consultation, although this figure may be updated by Medicare.
At St Martins Podiatry, patients with eligible referrals currently receive Medicare rebates toward their consultation costs.
It is important to understand the difference between:
Medicare Rebate
The amount Medicare contributes toward your appointment fee.
Gap Fee
The difference between the consultation fee and the Medicare rebate amount.
Bulk Billing
When a provider accepts the Medicare rebate as full payment without charging an additional fee.
Many podiatry clinics do not bulk bill. Understanding potential out-of-pocket costs before your appointment helps avoid surprises.
Medicare vs Private Health Insurance: Which Should You Use?
Many patients also have private health insurance, leading to confusion about which option offers the best value.
In most cases, you cannot claim both Medicare and private health insurance for the same appointment.
Medicare may be the better option when:
- You have a valid Chronic Disease Management Plan
- You are using one of your allocated allied health visits
- Your condition meets Medicare eligibility requirements
Private health insurance may be more useful when:
- Your Medicare visits have been used
- You require additional appointments
- You need services not included under Medicare
- You are seeking custom orthotics
While Medicare may contribute to assessments and treatment, orthotic devices themselves are generally not covered by Medicare podiatry benefits.
Get the Most Out of Your Care Plan at St Martins
With more than a decade of serving the local community, St Martins Podiatry Clinic works closely with patients and GPs to maximise available Medicare support.
We accept eligible Medicare referrals and provide straightforward claiming options to make the process easier. Whether you require diabetic foot monitoring, biomechanical assessments, or ongoing podiatry services, our goal is to help you stay active and comfortable.
Remember that Medicare-supported visits are allocated per calendar year. If you have remaining visits available, it is often beneficial to use them before the year ends.
If you have questions about your eligibility or need assistance arranging a podiatry appointment, our team is happy to help.
Frequently Asked Questions
Is there a Medicare rebate for podiatry?
Yes. Eligible patients with a Chronic Disease Management Plan may receive a Medicare rebate for podiatry consultations.
Does Medicare help with podiatry?
Yes. Medicare contributes toward approved podiatry services for eligible patients with qualifying chronic conditions.
How do I access podiatry through a GPCCMP?
Visit your GP, discuss your condition, and obtain a Chronic Disease Management referral if eligible.
How much is the Medicare rebate for podiatry?
The rebate is generally around $61.80 per eligible consultation, subject to Medicare updates.
What conditions qualify for Medicare-funded podiatry?
Diabetes, arthritis, chronic circulatory conditions, neurological disorders, and other long-term health conditions may qualify.
Does Medicare pay for a podiatrist to trim your toenails?
Only if the service forms part of approved treatment under a qualifying management plan.
Will Medicare pay for ingrown toenail removal?
Coverage depends on your eligibility, referral status, and treatment requirements.
Does Medicare cover podiatrists for toenail fungus?
Medicare may contribute when treatment forms part of managing an eligible chronic condition.
Are orthotics covered by Medicare?
Generally, Medicare does not cover the cost of custom orthotics themselves.
Is plantar fasciitis covered by Medicare?
It may be covered if treatment forms part of an approved Chronic Disease Management Plan.
Is bunion surgery covered by Medicare Australia?
Medicare may contribute to medically necessary surgery performed by an eligible specialist.
How often will Medicare pay for podiatry?
Eligible patients can usually access up to five allied health visits each calendar year.
How many podiatry visits does Medicare cover per year?
Medicare supports up to five allied health visits annually, shared across all participating allied health providers.