Routine foot care definition

Routine foot care means clipping or trimming of normal or mycotic toenails; debridement of the toenails that do not have onychogryposis or onychauxis; shaving, paring, cutting or removal of keratoma, tyloma or heloma; and nondefinitive shaving or paring of plantar warts except for the cauterization of plantar warts;
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Routine foot care. Unless the Member has diabetes mellitus, treatment for corns and calluses, toenail conditions, hypertrophy or hyperplasia of the skin and nails is not covered. Covered Services are paid according to the plan based on place of service, provider type, and provider billing. Skilled Nursing Facility (SNF)* – Covered Services of a Skilled Nursing Facility are covered for up to 60 days per Calendar Year of extended care. Custodial Care is not a covered benefit. Sleep Lab – Covered Services are paid according to the plan, when performed in a home or Hospital setting, based on place of service, provider type, and provider billing. Speech Therapy* – Covered Services of a certified speech therapist are paid according to the plan. Services for Speech Therapy will only be allowed when needed to correct stuttering, hearing loss, peripheral speech mechanism problems, and deficits due to neurological Disease or Injury. Surgery* – Covered Services are paid according to the plan. This includes operative and cutting procedures, treatment of fractures, dislocations and ▇▇▇▇▇. Surgical Supplies are covered and paid based on place of service, provider type, and provider billing. Telemedical Services – The Plan covers Telemedical Services, including Services for diabetes. It covers Telemedical Services via two-way electronic communication. These Services are covered to allow health professionals to interact with a patient, parent or guardian of a patient or another health professional on a patient’s behalf, who is at an originating site, in connection with a Medically Necessary diagnosis. Tobacco Use Cessation – Covered Services includes ways to help you stop using tobacco. If your provider feels that you need a prescription to help you quit tobacco, the Plan will pay for Nicotine Replacement Therapy (NRT) at no cost to you. Refer to the Prescription Drug Benefits section. Transplant Services* – Covered Services including organ and tissue Transplants are covered. Corneal Transplants do not require Prior Authorization. For detailed Transplant information, please contact our Customer Service Department. Transplants, In-Network – If a Transplant is performed at an In-Network provider facility, covered charges are paid in full less applicable Copays, Coinsurance and Deductibles. Transplants, Out-of-Network – If Transplant Services are available through a contractual agreement with an In-Network facility but are performed at an out-of-network facility, this Plan pays the lesser of 5...
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Examples of Routine foot care in a sentence

  • Routine foot care, such as treatment of flat feet or other structural misalignments of the feet, removal of corns, and calluses, is not Covered, unless Medically Necessary due to diabetes or other significant peripheral neuropathies.

  • Routine foot care, unless required due to blindness, diabetes or peripheral vascular disease.

  • Check your policy or plan document for other excluded services.) • Acupuncture • Cosmetic surgery • Dental care (Adult) • Dental check-up, child • Glasses, child • Long-term care • Routine foot care unless to treat a systemic condition • Weight loss programs • Bariatric Surgery • Chiropractic care • Hearing aids • Infertility treatment • Most coverage provided outside the United States.

  • Routine Foot Care‌ Benefits for Medically Necessary Routine foot care, when obtained from a Covered Provider.

  • Routine foot care, except in the presence of a non-related Medical Condition affecting the lower limbs.

  • Children’s glasses Not covered Not covered None Children’s dental check-up Not covered Not covered None Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.) • Acupuncture • Cosmetic surgery • Dental care (Adult) • Dental check-up, child • Glasses, child • Long-term care • Routine foot care unless to treat a systemic condition • Weight loss programs Other Covered Services (Limitations may apply to these services.

  • Routine foot care, including the paring and removing of corns and calluses or trimming of nails.

  • Routine foot care, such as the treatment of corns, calluses, non- surgical care of toenails, fallen arches and other symptomatic complaints of the feet are not covered, except for diabetics.

  • Routine Foot Care Services Routine foot care Services that are not medically necessary.

  • Routine Foot Care Benefits for Medically Necessary Routine foot care, when obtained from a Covered Provider.