Molina Healthcare Podiatry Coverage in Michigan

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

Molina Healthcare Podiatry Coverage Overview

Plan type: Medicaid managed care and Medicare Advantage in Michigan.
Referral required? Medicaid: PCP referral may be required. Medicare Advantage: Check plan.
Typical specialist copay: Low or $0 copay for most Molina Medicaid members. Medicare Advantage: varies.

What Molina Healthcare 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 Molina Healthcare Members

Molina primarily serves Medicaid and dual-eligible (Medicare/Medicaid) patients. We accept Molina and work with their care coordination team to ensure seamless access.

How to Verify Your Molina Healthcare 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 Molina Healthcare podiatry benefits — we’re in-network in Howell and Bloomfield Hills.

Molina Healthcare Podiatry Coverage Michigan: Medicaid Managed Care Foot Care Benefits

Molina Healthcare of Michigan is a Medicaid managed care organization (MCO) serving Michigan Medicaid beneficiaries in multiple counties including Livingston and Oakland. Medicaid podiatric benefits through Molina cover medically necessary evaluation and management, procedures, diagnostic imaging, and custom orthotics with prior authorization when medical necessity is documented. Molina members requiring podiatric care should verify that Balance Foot & Ankle is an in-network Molina provider for their specific county before scheduling — Medicaid managed care networks are county-specific and can change. Our insurance team at (810) 206-1402 can quickly confirm network participation for your Molina plan.

Michigan Medicaid members covered by Molina who have diabetes receive comprehensive podiatric benefits: the annual diabetic foot examination is a covered preventive service, diabetic shoes and custom inserts are a covered benefit for qualifying patients, and wound care for diabetic foot ulcers is covered as a medically necessary service with the documentation and coding that our billing team provides. Molina members in Livingston County (Howell, Brighton, and surrounding areas) and Oakland County who need podiatric care should call Balance Foot & Ankle at (810) 206-1402 to verify current network participation and schedule an appointment. We serve Molina Medicaid members at our Howell and Bloomfield Hills locations and work to minimize any prior authorization delays for medically necessary care.

Molina Medicaid members in Michigan with urgent foot concerns — an ingrown toenail that has become infected, a suspected fracture, a diabetic wound — should know that emergency and urgent podiatric care is covered without prior authorization in most Medicaid plans when the condition requires prompt treatment. At Balance Foot & Ankle, we reserve appointment slots each week for urgent foot conditions and prioritize Medicaid members who call with acute problems. Michigan Molina members with urgent foot needs should call (810) 206-1402 and describe their situation — we will accommodate urgent scheduling to the fullest extent our availability allows.

Patients covered under this plan are encouraged to call Balance Foot & Ankle at (810) 206-1402 with their insurance card — our team provides a fast and accurate benefits verification before the first appointment, including specialist cost-sharing, deductible status, authorization requirements for planned procedures, and confirmation of our in-network participation. This free verification call eliminates insurance uncertainty and allows patients to schedule with confidence knowing their expected costs in advance. Same-week appointments are available at our Howell and Bloomfield Hills locations for most foot and ankle concerns.

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.