Aetna Podiatry Coverage in Michigan — What’s Included?

If you have Aetna insurance in Michigan, you have podiatry coverage. Balance Foot & Ankle — with offices in Howell and Bloomfield Hills — is in-network with Aetna. Here’s everything you need to know about your Aetna podiatry benefits.

Aetna Podiatry Coverage Overview

Plan type: PPO and HMO plans available. Employer-sponsored and individual marketplace plans.
Referral required? PPO plans: No referral needed. HMO plans: PCP referral typically required.
Typical specialist copay: Typically $30-$50 specialist copay for PPO; $20-$40 for HMO with referral.

What Aetna Covers for Podiatric Care

• New patient evaluation and established patient visits
• Diagnosis and treatment of all medically necessary foot and ankle conditions
• Podiatric surgery with pre-authorization when required
• In-office X-rays and ultrasound imaging
• Diabetic foot care and wound management
• Cortisone and therapeutic injections
• Custom orthotics when medically necessary
• Nail care for patients with qualifying systemic conditions

Special Notes for Aetna Members

Aetna Better Health (Medicaid) also accepted for qualifying Michigan patients.

How to Verify Your Aetna Benefits at Balance Foot & Ankle

The fastest way to know exactly what you’ll pay is to call our office. We contact your insurance company directly and verify your deductible status, copay amount, referral requirements, and covered services — before your appointment, at no charge to you.

📞 Call (810) 206-1402 to verify your Aetna podiatry benefits — we’re in-network in Howell and Bloomfield Hills.

Aetna Podiatry Coverage in Michigan: Benefits, Costs, and Using Your Aetna Plan at Balance Foot & Ankle

Aetna health plans in Michigan cover medically necessary podiatric services, with cost-sharing determined by whether the member is seen in-network or out-of-network. Balance Foot & Ankle participates in Aetna’s PPO and POS networks for most Michigan commercial plans, and our insurance coordinators verify Aetna network participation for each patient’s specific plan before scheduling. Aetna PPO members do not require a referral for specialist podiatry visits. Aetna HMO and managed care plan members should verify referral requirements with their PCP or Aetna member services before scheduling. Common Aetna-covered podiatric services include: office evaluation (specialist copay applies), diagnostic X-ray and ultrasound, cortisone and other injections, custom orthotics with prior authorization and medical necessity documentation, and surgical procedures subject to deductible and coinsurance.

Aetna members with Michigan employer plans should review whether their plan includes the Aetna Better Health of Michigan Medicaid product — this is a separate managed Medicaid plan with different benefits and provider networks than commercial Aetna. Members unsure which Aetna product they have should call the member services number on their insurance card for clarification before scheduling. For Aetna commercial plan holders in Livingston and Oakland counties, Balance Foot & Ankle offers same-week appointments for urgent foot conditions and within 2–3 weeks for routine podiatric care. To confirm your Aetna coverage and schedule an appointment, call (810) 206-1402 and our insurance verification team will review your benefits and explain your expected cost-sharing.

Aetna members considering custom orthotics should know that prior authorization is required for most Aetna plans — and that prior authorization for orthotics requires clinical documentation of the diagnosis, failed conservative treatment, and the expected functional benefit of the orthotic. Our Balance Foot & Ankle clinical team prepares this documentation as part of the standard orthotic evaluation, and our billing coordinators submit the authorization request promptly to minimize the wait between evaluation and fabrication. The entire process from initial evaluation to wearing custom orthotics typically takes 3–4 weeks including insurance authorization processing time. Call (810) 206-1402 to begin the Aetna custom orthotic evaluation and authorization process at our Howell or Bloomfield Hills office.

Related Treatment Guides

• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment
• Bunion Treatment

Michigan patients experiencing foot or ankle problems can schedule an appointment at Balance Foot & Ankle — with locations in Howell (4330 E Grand River) and Bloomfield Hills (43494 Woodward Ave #208). Call (810) 206-1402 for same-week availability.

Medical References & Sources

• American Podiatric Medical Association — Patient Education
• American Orthopaedic Foot & Ankle Society — Foot Conditions

Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.