Insurance
We accept most major insurance plans. Many offer coverage for Medical Nutrition Therapy (MNT) at no cost to you when billed under preventive services. To make the most of your benefits, please call your insurance provider before your appointment.
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Includes Anthem plans
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Most plans cover 100% when billed preventive
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Unlimited visits, or 30 or 12 per plan year
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BCBS Federal, unlimited visits, covered 100%
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Includes GEHA
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Most plans cover nutrition under preventive services for specific conditions, we can help determine if your condition qualifies under prevention
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Non preventive conditions often have a copay
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Some plans require a deductible to be met before covering services
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Most plans have unlimited visits, no copay
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Most plans cover CPT 97802/3 for first 3 visits, then 99404 for others after
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Covers 3 visits/year for first year, 2/year after
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Covers only chronic kidney disease and type 2 diabetes
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Secondary plans may cover more visits
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Supplemental plans do not cover more visits
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Most plans cover 100%, no copay
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10 or 26 visits per year based on diagnosis (year starts at date of first visit)
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We can help determine if your condition qualifies for 10 or 26 visits
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State dependent
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Depending on the carrier, may only have coverage for certain conditions
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Each plan is unique, must call them to determine coverage
Out of network or Self Pay
We offer package plans if your insurance does not cover nutrition counseling or we are out of network. We can provide a superbill if requested.
What to Ask When You Call to Verify Benefits:
"I am seeing a registered dietitian nutritionist. Are nutrition counseling or Medical Nutrition Therapy (MNT) visits covered under my plan? This is for preventive benefits."
Ask the rep:
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Are CPT codes 97802 (initial visit) and 97803 (follow-up) covered under preventive benefits?
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Are telehealth sessions covered?
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How many visits are allowed per year?
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Are there any co-pays, deductibles, or co-insurance?
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Is a referral or physician order required?
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Is diagnosis code Z71.3 (dietary counseling) covered as preventive?
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Does my plan cover visits for the following conditions? (See common diagnosis codes below.)
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Can I get a reference number?
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Cigna only: is CPT code 99404 covered?
We can help you verify benefits if you need assistance!
Common Diagnosis Codes (ICD-10)
Diagnosis Code & Description
Z71.3 - Dietary counseling and surveillance (Preventive)
E66.3 - Overweight
E66.9 - Obesity
E11.9 - Type 2 Diabetes
E78.5 - Hyperlipidemia (high cholesterol)
I10 - Hypertension
Z83.49 - Family history of cardiovascular disease
Z83.3 - Family history of diabetes
Contact
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