DID YOU KNOW
Most health insurance plans cover nutrition visits often at NO COST to you!
Telehealth is also covered by the majority of plans we accept, especially during COVID-19.
Read more below about how to check your specific benefits to ensure coverage.
What insurance companies do we participate with?
At the present time, we are a preferred provider with Medicare, Cigna, Midlands Choice, Medica Insure, Nebraska Total Care, and United Healthcare (including UHC Community). We are currently in the process of credentialing with Aetna and WellCare.
Please Note: Medicare only covers nutrition counseling visits if you have diabetes or renal disease.
If we are out-of-network with your insurance, sessions may still be covered. Upon request, we can either send a claim to your insurance on your behalf or provide you with a superbill to submit yourself for possible reimbursement. Payment is due from you at the time of service.
We accept cash, check, credit/debit cards, HSA & FSA cards.
**A credit/debit card on file is required to secure appointments.
VERIFYING YOUR BENEFITS:
WHAT TO ASK WHEN YOU CALL
Clients are responsible for verifying their own coverage and benefits with their insurance plan. Prior to your appointment, simply call the number on the back of your card and ask them the following questions:
Do I have nutritional counseling coverage on my insurance plan?
If the insurance company asks for a CPT or procedure code, please provide them with the codes 97802 & 97803. If they say those codes are not billable, NEXT ask them to check your coverage for the following codes: 99401, 99402, 99403 and 99404. THEN ASK if those codes are covered by YOUR specific plan.
Will my diagnosis be covered?
If the representative asks for a diagnosis code – please tell them the visit is coded ICD-10 code: Z71.3
How many visits do I have per calendar year?
Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.
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.
Have I met my deductible?
In the event you have a deductible that you've not met, your insurance company might apply the visit cost towards your deductible. In the event this happens, you will be responsible for any charges that are applied to your deductible.
Write it all down!
Be sure to write down all information provided to you, along with the name of the representative and reference number for the call.
Insurance coverage varies greatly between different companies and plans. If your insurance declines your visit(s) for any reason, you are responsible for the full amount billed.