Priority Health Podiatry Coverage at Balance Foot & Ankle Specialists
Yes — Balance Foot & Ankle Specialists is an in-network Priority Health provider. As Michigan’s second-largest health insurer, Priority Health covers millions of residents across the state. We accept Priority Health HMO, POS, and PPO plans at both our Howell and Bloomfield Hills locations.
What Priority Health Covers for Foot & Ankle Care
Priority Health provides comprehensive coverage for podiatric services when medically necessary:
Diagnostic Services
Complete foot and ankle examinations, digital X-rays, diagnostic ultrasound, and biomechanical assessments. These services are essential for accurately diagnosing conditions like plantar fasciitis, peripheral neuropathy, and stress fractures.
Conservative Treatments
Priority Health covers non-surgical treatments including custom orthotics, corticosteroid injections, physical therapy referrals, EPAT shockwave therapy, and MLS laser therapy. Advanced therapies may require prior authorization.
Surgical Procedures
When conservative care is insufficient, Priority Health covers medically necessary foot and ankle surgery including bunion correction, hammertoe repair, ingrown toenail removal, and ankle stabilization procedures. Pre-authorization is required.
Diabetic Foot Care
Priority Health provides coverage for diabetic foot care including annual foot exams, therapeutic shoes, custom diabetic insoles, and wound care management. Diabetic patients should receive at least one comprehensive foot exam per year.
Typical Costs with Priority Health
Office visit copay: $20–$40 for most Priority Health plans.
Specialist copay: $30–$50 depending on your plan tier.
Diagnostic imaging: Typically covered at 80–100% after deductible.
Custom orthotics: Covered with prior authorization. Patient coinsurance typically 20–30%.
Surgery: Covered as medically necessary. Most plans cover 80–90% after deductible and pre-authorization.
Priority Health Referral Requirements
Priority Health HMO: Referral from your primary care physician is required before seeing a specialist.
Priority Health POS: Referral required for in-network specialist visits at the lowest cost.
Priority Health PPO: No referral needed — you can book directly with our office.
How to Verify Your Priority Health Coverage
Step 1: Call us at (810) 206-1402 or request an appointment online.
Step 2: Provide your Priority Health member ID and group number.
Step 3: Our billing team contacts Priority Health to verify your benefits, copay, deductible status, and referral requirements.
Step 4: We confirm your coverage and out-of-pocket costs before your appointment.
Frequently Asked Questions About Priority Health Podiatry Coverage
Does Priority Health cover podiatry?
Yes. Priority Health HMO, POS, and PPO plans cover medically necessary podiatry services. Balance Foot & Ankle Specialists is an in-network Priority Health provider in Michigan.
Does Priority Health cover custom orthotics?
Priority Health covers custom orthotics when prescribed for a diagnosed condition and prior authorization is obtained. Our office handles the authorization process for you.
Do I need a referral for Priority Health podiatry?
Priority Health HMO plans require a referral from your primary care physician. Priority Health PPO plans typically do not require a referral. Call us to verify your plan requirements.
Does Priority Health cover foot surgery?
Yes. Priority Health covers medically necessary foot and ankle surgery including bunion surgery, hammertoe correction, and ingrown toenail removal. Pre-authorization is required.
Book Your Appointment with Priority Health
Balance Foot & Ankle Specialists proudly accepts Priority Health insurance. Call (810) 206-1402 to schedule your appointment — we will verify your Priority Health benefits before your visit.
Visit us at our Howell office or Bloomfield Hills office. View all accepted insurance plans →
No insurance? See our self-pay pricing options.
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We’ll verify your insurance coverage before your visit — no surprises.
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Three board-certified podiatrists. Two Michigan locations. Same-week appointments. Our team checks your benefits before you arrive so there are no surprises.
Call or book online
Give us your insurance info at booking — we handle the rest.
We verify benefits
We confirm your copay, deductible, and covered services before you visit.
Same-week care
No surprise bills. Clear cost estimate at checkout. On-site X-ray if needed.
Ready to book with your plan?
Same-week appointments at both locations. We’ll verify your benefits before you arrive.
Howell · (810) 206-1402 Bloomfield · (248) 335-0322