Wellcare Dual Align (HMO D-SNP): Podiatry Services

Podiatry is an essential service for those with vulnerable or problematic lower legs, ankles, and feet.

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Cost
$25 copay per visit
Prior Authorization Required
Yes
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

  • $0 copay for Medicare-covered podiatry services.

  • $0 copay for each supplemental (Non-Medicare- covered) podiatry visit.


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Covered services include:

  • Diagnosis and the medical or surgical treatment of injuries and diseases of the feet (such as hammer toe or heel spurs)

  • Routine foot care for members with certain medical conditions affecting the lower limbs

Additional covered services include:

  • Supplemental (Non-Medicare-covered) foot care, limited to a total of 12 visits every calendar year.


Note: Coverage of supplemental (Non-Medicare-covered) podiatry services is a supplemental benefit offered by the plan. Neither Medicare nor California Medi-Cal (Medicaid) will pay your share of the cost for these services.

Availability
Ongoing, as ordered and authorized
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Podiatry services are commonly needed for those who suffer from painful, debilitating, or deforming conditions of the feet, or for those who have chronic illnesses such as diabetes or peripheral vascular disease that affect the lower limbs and make the feet vulnerable to injury.

Conditions that a podiatrist may treat are (not limited to) diabetic foot care, foot injuries, toe deformities, toenail issues, skin infections, corns, calluses, bunions, bone spurs, ankle or heel pain, club foot, and plantar fasciitis.

Covered services include:

JOKE: Why don't podiatrists like each other? Because they're arch enemies.

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