FAQ's

FOR INSURANCED BASED VISITS

$180 per hour for standard nutrition visits billed to insurance

SELF PAY VISITS

$160 for the initial visit & $80 for a follow-up visit.

Aetna

In-network, generally covered 100% for 10 visits, some have up to 26 per year, if obese according to BMI.

Blue Cross Blue Shield/Anthem

In-network, generally covered 100% - most get unlimited visits. Referral required for HMO.

Cigna

We are in network by way of billing through a separate dietitian group - most individuals get unlimited visits. Referrals preferred.

Curative

In-Network, generally covered 100%

Molina Health Marketplace

In network, generally coverage at 100%, no visit limit. Referral not required.  We do not accept MEDICAID

United Healthcare/UMR

In-network, generally covered at 100%, some plans have limits, exclusions to sessions or medical conditions. Referral not required unless HMO.

Sana

In-network, we often see 100% coverage.

No, we do not bill Medicare or Medicaid plans. You would need to opt for our self-pay option.

Call the Member Services Number on the Back of your Insurance Card and provide them with the information below:​

We suggest you record the date, time and name of the representative and keep this information for your records.

Does my insurance cover nutrition counseling?​

Provide the following procedure code:

97802 - Procedure code for an initial nutrition counseling appointment

97803 - Procedure code for a follow-up nutrition counseling appointment

Will my plan cover nutrition counseling for (your health conditions)?

Provide an ICD-10 diagnostic code: Z71.3  (the most common).  

List of other common ICD-10 Codes for medical conditions that may be needed. 

Additional Questions to Ask

Do I have a deductible to meet first? □ Yes □ No     If yes, how much?______________

Do I have a co-pay or co-insurance? □ Yes □ No       If yes, how much? _____________

Do I have a limited number of visits?  □ Yes □ No  If yes, how many per benefit year? _______ & when does the benefit year start? ___________

Do I need a physician referral? □ Yes □ No

Does my plan cover telehealth □ Yes □ No (if Yes, does a copay apply)

ONLY IF PROVIDER IS OUT OF NETWORK, YOU SHOULD ASK THE FOLLOWING QUESTIONS

Does my plan has coverage for Out of Network benefits? □ Yes □ No

Does my plan reimburse if I submit a superbill?  □ Yes □ No

If yes to either questions, ask all of the in network questions above to inquire about your out-of-network benefit coverages.

If you have an HMO plan - the referral must come from the PCP listed on your insurance card.

The valid referral MUST be on file 24 hours prior to the session in order to bill your insurance, if you do not have a referral you can opt to self pay and we will not file a claim for the session and will not provide a superbill.

If we are out of network and nutrition counseling is critical to success and management of your condition we will bill you upfront at $180/hr and provide you with a superbill which you can request reimbursement from your insurance provider.

BCBS HMO's must have their PCP listed on the insurance card submit an electronic referral through Availity and fax our office a copy of the Authorization Number, total number of visits authorized and the dates for the authorization. We often recommend 26-30 visits per year.

EPO Plans require authorization.

Our first session is focused on your history and needs and is lots of information gathering and listening to your personal journey. No one should have the same course of treatment, which means we do a deep dive to create a personalized solution to guide you to achieve your goals.  ​What is reviewed:

• Current Medical Conditions/Family History

• Recent Lab work

• Medication and Supplements

• Weight Challenges/History

• Sleep Patterns & Energy Levels

• Stress, Anxiety, and Depression

• Gastrointestinal Challenges

• Eating Patterns (including the whole family)

• Behavioral and Habit Identification & Challenges

• Long Term Goal Setting

We will provide you access to a care plan, sample meal plans/recipes (if requested), recommendations for supplements and functional testing, and access to our photo food journal.

Our most successful clients meet every week or every other week for several months and then scale back as needed. We happily will modify this schedule based on your mental & personal needs, budget, or coverage.

Optional, but provides great data! Many clients focus on food, behavior, and mental changes, but others want to look into the root cause of their issues.  This may mean working collaboratively with physicians, psychologists, or adding on any of the additional services we provide. 

Please be aware these offered at an additional charge as these are not billed to insurance and takes time and expense outside of visits. Many individuals find these services will enhances their sessions and provide better outcomes:

• Metabolism Testing (this is offered in person in San Antonio, TX)

• Gut Stool Testing

• Organic Acid Metabolism

• Environmental Toxins

• Genetic Testing

Any changes within 12 hours of your scheduled appointment time is subject to a $75 fee. 

If you are more than 10 minutes late to any session, you will be marked as a no show and the $75 fee will be assessed.

We charge fees because we only meet with one client at a time, and out providers are blocking off dedicated time for your care and without advance notice they cannot fill the slot. Please be aware that our client portal will lock you out and prevent you from making changes if it is within 12 hours of your session time.

Waived fees are at the providers discretion, and will be handled on a case by case basis. We kindly ask that you use the client portal to manage your appointments and communicate with your provider as soon as a conflict arises, even if it is less than 12 hours prior so they can try to get you rescheduled for a new slot. All fees must be paid prior to receiving future services. 

Our team is equipped to work with ALL medical conditions, and if you don't see your listed below the list is an example.

If you have a diagnosed eating disorder or suspect you have disordered eating, please book with Kristin Bates.

• Weight Management/Weight Loss/GLP Support

• Disordered Eating

​• Family Nutrition​ / Prenatal Nutrition

• Womens & Mens Hormone Health

• PCOS / Endometriosis

• Thyroid (Hypo/Hyper) & Hashimotos​

• Auto Immune Conditions

• Cardiovascular Disease

• Hypertension

• High Cholesterol/Triglycerides

​• Metabolic Syndrome

​• Gastrointestinal Challenges​

• GERD/Reflux​​

• IBS/IBD/Gastritis

​• Diverticulosis/Diverticulitis

​• Chrons/Ulcerative Colitis

​• Prediabetes / Diabetes

​•​ Gestational Diabetes​​

• Chronic Kidney Disease​

• Food Sensitivities & Allergies

​• Chronic Inflammation​

• Nutrient Deficiencies​​

• Enzyme Deficiencies

​• Anemia

​• Cancer

All client support documents are located here.