Insurance Coverage & Verification
Please make sure you review the coverage on your insurance policy and fully understand your plan benefits and requirements.
Being in-network with your insurance company does not guarantee coverage for nutrition counseling service.
Please verify and understand your specific plans coverage for medical nutrition therapy as we charge $150 per hour.
Being in-network with your insurance company does not guarantee coverage for nutrition counseling service.
Please verify and understand your specific plans coverage for medical nutrition therapy as we charge $150 per hour.
We bill most insurance companies directly if we are in-network. If we are out of network, we can bill them direct or provide you a superbill that you can submit to your insurance provider. We have seen some Aetna and Cigna plans payy for out of nework coverage.
Blue Cross Blue Shield/Anthem
We are in-network and most plans cover our services at 100% many with unlimited number of visits. Texas TRS plans get at least 10 visits per calendar year, without a specific medical diagnosis, we may be able to request up to 26 visits.
Friday
We are in-network and are happy to bill them direct and have seen patients get 100% coverage.
Humana
We are in-network and most plans have at least 3 hours of counseling covered at 100% for medical conditions. If you have a Humana medicare plan, please see medicare requirements.
Medicare
We are in-network but the only conditions billable are diabetes of chronic kidney disease (with physician referral or documentation of condition). For any other condition we can provide a self pay package or bill any secondary insurance plan that does have nutrition couseling as a benefit. This includes any medicare plan administered by any of the main insurance providers listed on this page.
Molina Health
We are in-network and most plans have been covered at 100% without a visit limit to date.
United Healthcare/UMR
We are in-network and many plans cover our services at 100% per UHC policy, however we recommend double checking if there are exclusions or session limits. If you have a medicare plan, please see medicare requirements.
Sana
We are in-network with this provider and understand there is coverage for memebers as part of their preventative care offerings.
Superior Health (Ambetter)
We are in-network and most plans cover our services at 100% many with unlimited number of visits.
We are not a medicaid provider and cannot bill any medicaid plans administered by Superior Health.
Tricare
We are a non-network preferred provider and will require a referral from any physician in order to bill for services as this is a requirement for us to work with clients under the care of a physician.
Wellcare
We are in-network, but as this is a Medicare plan, they ONLY cover diabetes or kidney disease.
NO COVERAGE?
With minimal proof of medical need and financial hardship, we do offer a limited number of slots using a pay what you can afford model for sessions with a dietitian. Please book a discovery call to discuss options and availability.
Book a Free Discovery Call
Blue Cross Blue Shield/Anthem
We are in-network and most plans cover our services at 100% many with unlimited number of visits. Texas TRS plans get at least 10 visits per calendar year, without a specific medical diagnosis, we may be able to request up to 26 visits.
Friday
We are in-network and are happy to bill them direct and have seen patients get 100% coverage.
Humana
We are in-network and most plans have at least 3 hours of counseling covered at 100% for medical conditions. If you have a Humana medicare plan, please see medicare requirements.
Medicare
We are in-network but the only conditions billable are diabetes of chronic kidney disease (with physician referral or documentation of condition). For any other condition we can provide a self pay package or bill any secondary insurance plan that does have nutrition couseling as a benefit. This includes any medicare plan administered by any of the main insurance providers listed on this page.
Molina Health
We are in-network and most plans have been covered at 100% without a visit limit to date.
United Healthcare/UMR
We are in-network and many plans cover our services at 100% per UHC policy, however we recommend double checking if there are exclusions or session limits. If you have a medicare plan, please see medicare requirements.
Sana
We are in-network with this provider and understand there is coverage for memebers as part of their preventative care offerings.
Superior Health (Ambetter)
We are in-network and most plans cover our services at 100% many with unlimited number of visits.
We are not a medicaid provider and cannot bill any medicaid plans administered by Superior Health.
Tricare
We are a non-network preferred provider and will require a referral from any physician in order to bill for services as this is a requirement for us to work with clients under the care of a physician.
Wellcare
We are in-network, but as this is a Medicare plan, they ONLY cover diabetes or kidney disease.
NO COVERAGE?
With minimal proof of medical need and financial hardship, we do offer a limited number of slots using a pay what you can afford model for sessions with a dietitian. Please book a discovery call to discuss options and availability.
Book a Free Discovery Call
HMO Plans
HMO plans must have a referral from your primary care physician faxed to us prior to our session in order to bill your insurance.
Physician Referral Form
If we are out of network and nutrition counseling is critical to success and management of your condition there may be an opportunity for you, us, and your physician to collaborate to file an appeal/preauthorization to request coverage for your medical condition.
Physician Referral Form
If we are out of network and nutrition counseling is critical to success and management of your condition there may be an opportunity for you, us, and your physician to collaborate to file an appeal/preauthorization to request coverage for your medical condition.