Your visit
Your visit, step by step
How to book, which insurance plans we accept, what to bring and what happens at your first appointment.
How to book
- Call: (734) 667-3714
- After hours: request a call back and we'll call you on the next business day
- Referral: some plans (often HMO and Medicaid plans) need a referral from your primary care doctor. Check your plan, or ask us when you call.
Insurance we accept
Medicare & private insurance
- Medicare
- Blue Cross Blue Shield of Michigan
- Blue Care Network
- Priority Health
- HAP (Health Alliance Plan)
- Aetna
- Cigna
- UnitedHealthcare
- Humana
- Tricare
- Ambetter from Meridian (Marketplace)
- Wellcare (Medicare Advantage)
- Medicare Advantage plans from these companies
Medicaid & Healthy Michigan Plan
- Michigan Medicaid
- Healthy Michigan Plan
- Aetna Better Health of Michigan
- Blue Cross Complete of Michigan
- HAP CareSource
- McLaren Health Plan
- Meridian Health Plan of Michigan
- Molina Healthcare of Michigan
- Priority Health Medicaid
- UnitedHealthcare Community Plan
Work injuries & car accidents
- Workers' compensation
- Auto insurance (Michigan no-fault / PIP)
Plans and networks change often. Please call (734) 667-3714 to confirm your plan before your visit.
Hurt at work or in a car accident?
We accept workers' compensation and Michigan no-fault auto insurance. To help us bill the right company, please bring:
- Work injury: your claim number, the date of injury, your employer's name, and the insurance adjuster's name and phone number
- Car accident: your auto insurance company, claim number, and the adjuster's name and phone number
- Any paperwork from the emergency room or urgent care
Please call before your visit so we can check that the claim is open and approved for this care.
No insurance? Self-pay is available
If you don't have insurance, or prefer not to use it, you can pay for your visit yourself (self-pay). Ask about self-pay prices when you call.
Your right to a Good Faith Estimate. You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services, including related costs like medical tests, prescription drugs, equipment and hospital fees. Make sure your provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
What to bring
- Photo ID and your insurance card
- A list of your medicines
- Any X-rays, MRIs or reports about your foot or ankle
- The shoes you wear most often
- A referral, if your insurance plan requires one
What happens at your first visit
- Your story. Dr. Nafal asks when the problem started, what makes it better or worse and what you've tried.
- An exam. He looks at how your foot and ankle move, how you stand and walk, and checks feeling and blood flow when needed.
- Tests if needed. Some problems need X-rays or other imaging to see what's going on.
- Your options. He explains what's wrong and every reasonable option, from simple home care to surgery, so you can decide together.
If surgery is recommended
Surgery is never the only thing you'll hear about. If it is the best choice for you, Dr. Nafal will explain what the surgery does, where it will be done (usually Corewell Health Dearborn Hospital or McLaren Macomb Hospital), how to get ready and what recovery looks like for you. You'll have time to ask questions before you decide.
Many patients need a walking boot, surgical shoe or knee scooter afterward. See getting around after surgery to plan ahead.
Getting to the office
Both the Canton and Troy offices are wheelchair accessible, with accessible entrances and parking. See locations and hours for addresses and directions.