McLaren Health Plan Podiatry Coverage in Michigan

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

McLaren Health Plan Podiatry Coverage Overview

Plan type: Commercial employer plans, Medicaid managed care, and Medicare Advantage.
Referral required? Commercial PPO: No referral. HMO and Medicaid: PCP referral required.
Typical specialist copay: Varies by plan tier.

What McLaren Health Plan 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 McLaren Health Plan Members

McLaren Health serves many Michigan communities. Confirm our in-network status with your specific McLaren product.

How to Verify Your McLaren Health Plan 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 McLaren Health Plan podiatry benefits — we’re in-network in Howell and Bloomfield Hills.

McLaren Health Plan Podiatry Coverage Michigan: Benefits for Flint-Area and Mid-Michigan Members

McLaren Health Plan is the managed care subsidiary of McLaren Health Care, serving Michigan members in multiple counties including Genesee, Lapeer, and surrounding areas. McLaren Health Plan members in southeastern Michigan — including Livingston County residents who work in the McLaren Great Lakes Hospital system’s service area — may have McLaren Health Plan coverage that extends to specialist care in our service area. Balance Foot & Ankle should verify current McLaren Health Plan network participation directly for members seeking care at our Howell or Bloomfield Hills locations, as McLaren’s network footprint focuses primarily on counties where McLaren hospitals operate. Members are encouraged to call (810) 206-1402 for a benefits verification before scheduling.

McLaren Health Plan Medicare Advantage members in Livingston County benefit from podiatry coverage designed around Medicare Part B guidelines. The annual diabetic foot examination is covered, medically necessary nail care for qualifying systemic conditions is covered, and surgical and procedural podiatric care is covered with appropriate prior authorization. McLaren Health Plan members seeking podiatric care in the Howell-Brighton corridor — who may have been accustomed to accessing McLaren Physicians Group or McLaren Livingston Hospital-affiliated specialists — can call Balance Foot & Ankle at (810) 206-1402 to discuss network participation and scheduling options for their specific McLaren plan.

Patients covered under this plan who are uncertain about network participation or authorization requirements for specific services are encouraged to call Balance Foot & Ankle at (810) 206-1402 before scheduling. Our insurance team verifies benefits for every new patient — confirming in-network status, identifying specialist cost-sharing, and flagging any prior authorization requirements for planned procedures. This verification call is free and typically takes less than 5 minutes, eliminating the uncertainty that leads many patients to defer necessary foot care. Same-week appointments are available in Howell and Bloomfield Hills for most foot and ankle concerns.

Michigan patients with this insurance coverage who experience foot pain, nail problems, or any foot condition that has been bothering them should not wait for symptoms to worsen before scheduling. Early evaluation at Balance Foot & Ankle almost always results in a conservative treatment plan that costs far less and requires far less recovery time than the surgical or advanced care that deferred conditions eventually require. Both our Howell office at 4330 E Grand River and our Bloomfield Hills office at 43494 Woodward Ave #208 offer convenient access for Livingston and Oakland county patients. Call (810) 206-1402 today.

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.