For the 2016 Independence Medicare Advantage plans, additional benefits were added to cover up to six routine care visits for both chiropractic and podiatry services. A copayment will apply at each visit. Please note that this added coverage is in addition to the standard Medicare-covered chiropractic and podiatry services, which are detailed below:
- Medicare-covered chiropractic: Medicare Part B covers manipulation of the spine if medically necessary to correct a subluxation when provided by a chiropractor or other qualified provider.
- Medicare-covered podiatry: Medicare Part B covers podiatrist services for medically necessary treatment of foot injuries or diseases (like hammer toes, bunion deformities, and heel spurs). Part B generally doesn't cover routine foot care (e.g., cutting or removal of corns and calluses; trimming, cutting, and clipping of nails; or hygienic or other preventive maintenance like cleaning and soaking the feet).
For Medicare Advantage HMO members, a referral is required for all chiropractic and podiatry services.
Copayments will apply at each visit for routine chiropractic and podiatry visits; however, the copayment amount does not count toward the member's maximum out-of-pocket amount.
Prior to rendering these services, be sure to verify coverage using the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal.
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