All I Want For Christmas….


… is for someone to help me with my nails, do you do that?

This is a frequent question and one we have touched on before in the Soul Talk blog. The simple answer is yes, during appointments nails are trimmed or debrided and calluses cared for. Unfortunately, many patients, especially the elderly or those with mobility issues have trouble performing this care themselves. We are always happy to help out those who need. However, insurance doesn’t always cover this care.

Below are some scenarios under which nail care would or would not be covered.

My nails are thick and hard to trim, is my nail care covered?

  • Generally speaking nails that are painful, cause an inability to walk and are greater than 3mm in thickness are covered for routine foot care.

I’m a diabetic, is my nail care covered?

If you have diabetes with no other complications such as neuropathy or PVD (peripheral vascular disease) routine foot care is NOT covered.

  • Generally we try and see our diabetic patients 1-2 times per year for a diabetic foot check.

  • At your appointment the doctor will assess for any sensation loss (neuropathy) or poor blood flow (PVD).

  • They will then discuss these topics with you and ways to prevent issues.

  • If you meet the criteria for neuropathy or PVD your nail care may be covered.

 I have poor blood flow, is my nail care covered?

  •  This depends on a couple of factors that will be assessed during your appointment.

  •  The doctor will check your pulses and peripheral blood flow along with your skin and even your lower legs for signs of PVD

  •  If adequate signs are met your nail care may be covered.

My nails are normal but I can’t trim them myself, is my nail care covered?

  • Generally speaking no. Unless you meet one of the above criteria your nail care would not be covered.

An evaluation by the doctor is always necessary to determine coverage. All insurances are different, coverage is subject to deductible, copay and the above is not a guarantee of coverage.

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