Most health insurance companies cover nutrition counseling under preventative health, so often times that means $0 out of your pocket!
We are in-network with: Blue Cross Blue Shield/Anthem, Humana, Medicare (they ONLY cover diabetes and kidney disease), Molina Health, United Healthcare, Sana, Superior Health (Ambetter).
Step 1: Call your Insurance to verify nutrition counseling (scroll down for all the questions to ask)
It is important you call to understand your insurance plan benefits, limits, coverage and options. We share benefit coverage based on prior insurance validations, but if all or part of our services are not covered under your plan or apply to your deductible, you will receive a bill for the balance. If we are not in network with your plan you have a few options. File with insurance and pay $160/hr if denied (this should go towards your deductible) or do not file with insurance and book our wellness coaching sessions which are $120/hr.
Step 2: Obtain a Referral if you have a HMO plan or Medicare
HMO: This should come from the Primary Care Physician and if you have a HMO this is generally done in an electronic system and we recommend asking for 14 visits over 6 months. If they need an NPI number for your practitioner find it here.
Have your physician fax a copy of the electronic referral to us with a copy of your medical diagnosis, chart notes, and labs.
MEDICARE This can come from any physician or nurse practitioner, however they only cover nutrition counseling for diabetes and kidney disease. You can use this form to obtain a referral and have the physicians office fax it to us with a copy of any medical diagnosis codes, chart notes, and labs.
Step 3: Book a Session in our client portal.
This system requires a credit card to hold your reservation in case of copays, cancellation fees, or option add on services.
Step 4: We handle the billing.
Our system will manage the billing and if there is a copay we will charge the card on file (this is very infrequent). If there is a denial, we will resubmit and be in contact if we see any issues.
It is important you call to understand your insurance plan benefits, limits, coverage and options. We share benefit coverage based on prior insurance validations, but if all or part of our services are not covered under your plan or apply to your deductible, you will receive a bill for the balance. If we are not in network with your plan you have a few options. File with insurance and pay $160/hr if denied (this should go towards your deductible) or do not file with insurance and book our wellness coaching sessions which are $120/hr.
Step 2: Obtain a Referral if you have a HMO plan or Medicare
HMO: This should come from the Primary Care Physician and if you have a HMO this is generally done in an electronic system and we recommend asking for 14 visits over 6 months. If they need an NPI number for your practitioner find it here.
Have your physician fax a copy of the electronic referral to us with a copy of your medical diagnosis, chart notes, and labs.
MEDICARE This can come from any physician or nurse practitioner, however they only cover nutrition counseling for diabetes and kidney disease. You can use this form to obtain a referral and have the physicians office fax it to us with a copy of any medical diagnosis codes, chart notes, and labs.
Step 3: Book a Session in our client portal.
This system requires a credit card to hold your reservation in case of copays, cancellation fees, or option add on services.
Step 4: We handle the billing.
Our system will manage the billing and if there is a copay we will charge the card on file (this is very infrequent). If there is a denial, we will resubmit and be in contact if we see any issues.
