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If podiatry services are considered to be medically necessary by the member’s participating physician group (PPG) or Health Net, they are covered for Medi-Cal members. We at Care Podiatry can help you know your plan benefits and how it can lower your medical expenses.
Podiatry services include medical and surgical care for the feet, ankles, and tendons. These services are covered when the condition is linked to a chronic illness or makes it difficult to walk. Some services also need pre-authorizations. Those are usually for the surgical procedures for patients under 21 and custom orthotics.
There are no limits on regular office visits for foot care. However, you can get one to two covered services per month, unless additional services are pre-approved.
Note: Every coverage is different, so it is important to get benefits checked for your plan with us.
Routine nail trimming is not covered. Emergency services do not need pre-authorization. Medically necessary podiatry services are covered for Medi-Cal members. These are particularly those who are in the hospital or living in a nursing facility. However, services provided during a hospital stay should be approved in advance. You can refer to their pre-authorization requirements for more details.
If you have Medi-Cal, you need to get started with easy-to-follow steps. Contact Care Podiatry, and we will check your eligibility, confirm referral requirements, and schedule your visit without unnecessary delays.
