Did you know that your health insurance company may cover nutrition counseling? Even if you don’t have an actual diagnosis but still want to come in for nutrition counseling to prevent chronic disease, like diabetes or heart disease, many insurance companies are covering services for preventative care. The best way to know if your insurance company covers visits with a Registered Dietitian is to call the 800 number on the back of your insurance card and ask to speak with a representative. Once you are on the phone with a representative use the following information to ask the right questions about coverage for nutrition counseling.
CBNutrition, LLC is in-network with the following insurance companies: Anthem BCBS, Cigna, Hometown Health, and United Healthcare
CBNutrition, LLC will directly bill your insurance company on your behalf if it is to one of the above mentioned insurance companies.
Is nutritional counseling with a Registered Dietitian covered on my insurance plan?
- If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for preventative wellness with a Registered Dietitian.
Will my diagnosis be covered?
- If the representative asks for a diagnosis code – please tell them the visit is coded the ICD 10 code: Z71.3
- I always code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.
How many visits do I have per calendar year?
- Depending on your plan the number of visits vary from 0 to unlimited depending on medical need.
- Also, be sure to clarify the calendar year for your plan ends on 12/31/xxxx as some plans take effect mid-year.
Have I met my deductible?
- In the event you have a deductible I will still bill your insurance so it can be applied towards your deductible, but it will not be a covered service until your deductible is met. Therefore, payment of $150.00 is due at the initial visit and $75.00 is due at each follow up visit.
Do I have a co-pay for nutritional counseling?
- For most insurance companies I am considered a specialist. Therefore, your specialist co-pay is applicable and is payable at the time of service. This information is often apparent on the front of your actual insurance card.
Is Telehealth Covered?
- Many insurance companies are now covering telehealth through a HIPAA compliant platform. This would allow us to conduct your appointment virtually without coming into my office.
Do I Need A Referral From My Doctor?
Some plans require a referral from your doctor, while others don’t. Be sure to ask this question because you may or may not need to see your doctor first.
In the event that you carry insurance that CBNutrition, LLC is considered out of network, you will need to pay for your counseling session at the time of service. I am happy to provide you with a “Superbill” and/or an itemized invoice you can submit to your insurance company for reimbursement.
Reimbursement is based on your policy’s standards. Please call your insurance company’s member services number to verify how reimbursement works under your current insurance policy.
Please note if you do have an insurance which considers CBNutrition, LLC as out-of-network, I cannot submit directly on your behalf – I can only supply you with the appropriate paperwork. Therefore, payment is due at the time for service. Initial visits are $150.00 and each follow-up visit is $75.00.
CBNutrition, LLC accepts cash, check and all major credit cards. You can also use your HSA or FSA card to pay for services.
Need a nutrition consult on your patient?
As a Registered Dietitian I can help your patients make simple changes to the way they eat so they can improve their health outcomes, such as blood sugar control, Hemoglobin A1C, cholesterol levels, weight management, and blood pressure. I work 1:1 with clients and guide them through behavior changes that are realistic and sustainable. The good news is that insurance companies cover certain diagnoses and also are covering telehealth and preventative nutrition counseling, so chances are, your patients will be able to utilize their health benefits!