Oscar Health Podiatry Coverage in Michigan

Quick answer: Oscar Health Podiatry Michigan affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.

Related Conditions

Oscar Health Podiatry Coverage in Michigan

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

Oscar Health Podiatry Coverage Overview

Plan type: Individual and small group marketplace plans. Known for technology-forward member experience.
Referral required? No referral required — Oscar is a PPO-style plan.
Typical specialist copay: Typically $30-$50 specialist copay.

What Oscar Health 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 Oscar Health Members

Oscar members can message their care team through the app before scheduling to confirm benefit details.

How to Verify Your Oscar Health 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 Oscar Health podiatry benefits — we’re in-network in Howell and Bloomfield Township.

Oscar Health Podiatry Coverage Michigan: Does Oscar Cover Podiatrist Visits?

Reviewed by Dr. Tom Biernacki, DPM, FACFAS

Board-certified foot & ankle surgeon · 3,000+ surgeries · @MichiganFootDoctors (950K+ subscribers)

Last reviewed May 11, 2026 · (810) 206-1402

Oscar Health offers ACA marketplace plans in Michigan that cover podiatric services as medically necessary specialist care. Oscar’s network in Michigan includes podiatrists in Livingston and Oakland counties, and Balance Foot & Ankle may participate in Oscar’s network for certain plan years — network participation should be verified directly before scheduling, as Oscar’s Michigan network can change annually with plan renewals. Oscar PPO plan members can access specialists without a referral; Oscar HMO members should check their plan’s referral requirements. Oscar covers the full range of medically necessary podiatric services under its ACA-compliant health plans, subject to the member’s deductible, copay, and out-of-pocket maximum.

Oscar Health members who are uncertain about their network status or coverage for a specific service should use the Oscar app or website to verify in-network providers before scheduling, or call Oscar member services at the number on their insurance card. Our insurance team at Balance Foot & Ankle can also attempt a benefits verification for Oscar members — call (810) 206-1402 with your Oscar member ID. For Oscar members whose plan does not include us as an in-network provider, our self-pay rates for podiatric services are transparent and competitive with the out-of-pocket exposure after applying out-of-network deductibles and coinsurance to our billed charges. Michigan Oscar members with foot or ankle concerns are encouraged to call us to discuss their options before deciding to delay care due to insurance uncertainty.

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 Township 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 Township 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 Township (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

Visit Balance Foot & Ankle — Same-Day Appointments Available

Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.

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Same-day appointments in Howell & Bloomfield Township, MI.

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Or call: (810) 206-1402