I seem to recall reading a long time back, possibly in this group, something
about Medicare covering pedicures, or toenail trimming, at periodic
intervals for Medicare patients who have trouble doing it themselves. Does
anyone know about this?
My father has very thick, tough toenails he isn't able to trim with
conventional mail clippers. He tries to use an electric nailcare system his
daughter gave him - it has a grinding stone attachment he uses to shape the
nails, but it doesn't work well, especially with his substantial hand
tremor, it's very difficult, and so he lets it go too long. He mentioned to
me the other day that one nail is cutting into his slippers. He is adamant
he doesn't want me doing it for him, though I've offered repeatedly and
insist I don't mind (which of course I don't). I've checked with local
manicure places, but they're very expensive, and tend to be attached to
beauty salons (which might make him feel it was a 'girlie' thing to have
done).
He's also got rather poor circulation in his feet and I think getting him in
for his nails might be the easiest way to get him to agree to see a
podiatrist, because he does complain about it frequently.
My father has Medicare, plus the Tricare for Life supplement plan.
Thanks in advance.
--
Robert
Evelyn Ruut - 20 Apr 2004 00:51 GMT
Robert, Medicare pays for some routine foot care at a podiatrist's office.
You should call your local podiatrist and ask. I am sure they have plenty
of elderly patients who avail themselves of this.
Ida has toenails that are very tough also due to nail fungus, but the
product they can give to cure it (Lamisil) requires some kind of liver
function testing first. Our doctor didn't think it wise to give that
medication to her on top of all the other stuff she was taking.

Signature
Regards,
Evelyn
(to reply to me personally, remove 'sox")
> I seem to recall reading a long time back, possibly in this group, something
> about Medicare covering pedicures, or toenail trimming, at periodic
[quoted text clipped - 23 lines]
> --
> Robert
Evelyn Ruut - 20 Apr 2004 11:40 GMT
I think that now that Ida is a diabetic officially, that footcare would most
likely be covered from now on. We took her to the podiatrist anyway,
because when those toenails start curling around and under and digging into
the skin, it cannot possibly be comfortable for her.
Since then my husband has been cutting the nails with a really strong wire
cutter. They are just SO thick, that is the only way to get through them.
You realize they have such bad problems walking straight in a balanced way
anyway, that overgrown toenails can interfere with the fit of shoes and make
walking very uncomfortable.
I think the podiatrist should submit the bill to medicare and hope for the
best, and if you end up paying for it yourself...... oh well......

Signature
Regards,
Evelyn
(to reply to me personally, remove 'sox")
Howard Goldstein - 20 Apr 2004 02:22 GMT
: I seem to recall reading a long time back, possibly in this group, something
: about Medicare covering pedicures, or toenail trimming, at periodic
: intervals for Medicare patients who have trouble doing it themselves. Does
: anyone know about this?
My LO's pod said no coverage. Rather than waiting for penetrating
sole wounds from the claws curling about we bit the bullet (but not
the nail) and paid.
(As a side note to dear Evelyn (I'm so happy for you that things look
like they're falling into place with the medicaid and the nh!) FWIW
here too my LO suffers from some toenail fungus but her pod felt it
wasn't worth undergoing the very long course of lamisil given that
success even with good compliance was iffy)
Gwen Love - 20 Apr 2004 03:19 GMT
Robert, when my dad was in a NH, Medicare paid for a podiatrist to trim
his. Maybe if a regular doctor ordered it, they would pay.
Gwen

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| I seem to recall reading a long time back, possibly in this group, something
| about Medicare covering pedicures, or toenail trimming, at periodic
[quoted text clipped - 23 lines]
| --
| Robert
Songbird - 20 Apr 2004 03:31 GMT
> I seem to recall reading a long time back, possibly in this group, something
> about Medicare covering pedicures, or toenail trimming, at periodic
> intervals for Medicare patients who have trouble doing it themselves. Does
> anyone know about this?
It may depend on diagnosis. My dad is diabetic with neuropathy in his feet.
He cut himself four times last week trying to clip his nails -- and didn't
even know he did til he saw the blood. (his *wonderful* doctor's response:
At least it was just your toes! ARGH!)
So I am looking into the same thing!!
Songbird
Camille - 20 Apr 2004 12:58 GMT
Medicare pays for my mother to have her toenails trimmed by a podiatrist
every 2 months.
Camille
> I seem to recall reading a long time back, possibly in this group, something
> about Medicare covering pedicures, or toenail trimming, at periodic
[quoted text clipped - 23 lines]
> --
> Robert
Howard Goldstein - 22 Apr 2004 11:21 GMT
: Medicare pays for my mother to have her toenails trimmed by a podiatrist
: every 2 months.
If our clippings were covered it would be so helpful. After decades
of paying into the untrustworthy fund it'd be nice to see some of
those dollars coming back for that necessity leaving her cash to pay for
meds and the other never-covered essentials.
May I ask whether there are non-dementia issues involved? (diabetic?)
Camille - 22 Apr 2004 13:06 GMT
No diabetes. She does have very thick toenails, probably fungus. I only
know that the Alzheimer's ALF where she lives has the podiatrist in, he
clips, they bill Medicare and get paid by Medicare and her secondary. This
was also true of the ALF she lived at before the Alzheimer's facility.
Sorry I can't be of anymore help.
Camille
> : Medicare pays for my mother to have her toenails trimmed by a podiatrist
> : every 2 months.
[quoted text clipped - 5 lines]
>
> May I ask whether there are non-dementia issues involved? (diabetic?)
Robert E. Lewis - 22 Apr 2004 20:18 GMT
> No diabetes. She does have very thick toenails, probably fungus. I only
> know that the Alzheimer's ALF where she lives has the podiatrist in, he
> clips, they bill Medicare and get paid by Medicare and her secondary. This
> was also true of the ALF she lived at before the Alzheimer's facility.
> Sorry I can't be of anymore help.
It was a lot of help, Camille. My thanks to you and to everyone who replied
to my question.
Dad has been diagnosed for years with a benign essential tremor, a shake to
his hands that varies in intensity, but certainly does make it very
difficult for him to position a clipper on the nail. He also has very thick
nails, and I suspect it's fungus also. Add arthritis that makes it
difficult for him to bend over to deal with his feet, vision problems, and
impaired judgment to see how bad they've gooten, and it's just too much for
him.
I'll press him about it (gently), and try to get him there; if it turns out
Medicare and Tricare won't cover it and my father grouses about the payment,
I'll offer to pay for it myself.
--
Robert