Checking Your Insurance Coverage

What insurances do you accept?

I am in-network with Medicare, United Healthcare/UHC, BCBS and Cigna.

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What if I have a different insurance?

For all other insurance plans, you will pay at time of service, and will be provided with a superbill that you can submit to your insurance company.  As a medical expense, it will typically be applied to your deductible. 

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Can I use my HSA/FSA?

Yes you can!  Nutrition counseling is a qualified medical expense for most HSA and FSA plans.

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An important note about Medicare AND Medicare Advantage plans...

Please note, Medicare and Medicare Advantage plans ONLY cover dietitian visits for diabetes or kidney disease.  This includes BCBS Medicare Advantage, United Medicare Advantage, BCBS Federal Disability, etc. They DO NOT cover ANY Dietitian visits for ANY other problems -- even PRE-diabetes, cancer, feeding tubes, dementia, eating disorder etc.  These are cash-pay visits.  I keep my cash-pay visits as reasonable as I can for this exact purpose - so that you can access care when you need it, as a cash-pay patient.  If you need further assistance, please enquire about a sliding-scale rate.

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How do I check my commercial insurance coverage?

Call your insurance company and ask if Nutrition Counseling is covered on your plan - specifically CPT Codes 97802 and 97803.  If they say you do not have coverage for those codes, then ask if you have coverage for 99401, 99402, 99403, 99404, S9470. 

 

Will my diagnosis be covered?

If the representative asks for a diagnosis code or ICD10 code, provide Z71.3.  If that is not accepted on your plan, ask about Z72.4.  If your BMI is over 25 or you have diabetes, hypertension, or high cholesterol, go ahead and ask to see what nutrition counseling benefits you have for these diagnoses as well.

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Will I have a deductible or a copay?

Ask if you have preventative benefits on your plan. If so, typically our visits are covered with NO deductible!  If you have a copay, it will typically be the copay for specialist visit, listed on your insurance card.

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How many visits do I have?

Ask how many visits are covered...insurance coverage varies widely from 3 to 30 per calendar year, and sometimes even one session every week!  It's very common for us to need more than 3 sessions to get you to a point where you are feeling comfortable and confident in your nutrition habits.  This means some patients stay on with me and cash-pay for a while once insurance sessions are used up. The GREAT news is that your cash-pay fees are applied to your deductible as a valid medical expense.  Check here for my cash-pay rates.

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What do I pay at my appointment?

I cannot always tell if you will have a copay or not, so I don't charge a copay until I file a claim and the insurance company processes the claim and officially advises of the copay.  This is usually a week or two after your appointment, and therefore, this is why your credit-card is on file.  I will ALWAYS let you know before I charge your copay.

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Can you call my insurance and find out for me?

Sorry but no, I don't provide this service.  Most insurance companies will not give me the specifics of your policy, but they will give this information to you.

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How much will I pay for a cash-pay visit?

My rates are listed here

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I'm ready to book my appointment!

I'm so delighted to work with you! Please go to my online booking system to check availability and book your appointment at a time convenient to you!