Insurance Coverage & Verification
Aetna
In-network, generally covered 100% for 10 visits, some have up to 26 per year.
Blue Cross Blue Shield/Anthem
In-network, generally covered 100% - most get unlimited visits.
Referral required for HMO & Medicare.
Cigna
Out of network, generally applies to deductible or clients see coverage with a copay due.
No referrals required.
Friday
In-network, generally covered 100%.
No referrals required.
Humana
In-network, generally covered 100% for 3 hours per year.
Referral required for HMO & Medicare.
Medicare
In-network, only covers diabetes (type 2) and chronic kidney disease.
Referral required.
Molina Health
In network, generally coverage at 100%, no visit limit.
Referral not required.
United Healthcare/UMR
In-network, generally covered at 100%, some plans have limits, exclusions to sessions or medical conditions.
Referral not required.
Sana
In-network
Superior Health (Ambetter)
In-network, generally covered at 100% with unlimited visits.
Documentation of medical condition or referral required.
Tricare
Not in-network, we have seen coverage for some patients.
Referral required.
Wellcare
In-network, only covers Diabetes (Type 2) and Chronic Kidney disease.
Referral Required.
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.
In-network, generally covered 100% for 10 visits, some have up to 26 per year.
Blue Cross Blue Shield/Anthem
In-network, generally covered 100% - most get unlimited visits.
Referral required for HMO & Medicare.
Cigna
Out of network, generally applies to deductible or clients see coverage with a copay due.
No referrals required.
Friday
In-network, generally covered 100%.
No referrals required.
Humana
In-network, generally covered 100% for 3 hours per year.
Referral required for HMO & Medicare.
Medicare
In-network, only covers diabetes (type 2) and chronic kidney disease.
Referral required.
Molina Health
In network, generally coverage at 100%, no visit limit.
Referral not required.
United Healthcare/UMR
In-network, generally covered at 100%, some plans have limits, exclusions to sessions or medical conditions.
Referral not required.
Sana
In-network
Superior Health (Ambetter)
In-network, generally covered at 100% with unlimited visits.
Documentation of medical condition or referral required.
Tricare
Not in-network, we have seen coverage for some patients.
Referral required.
Wellcare
In-network, only covers Diabetes (Type 2) and Chronic Kidney disease.
Referral Required.
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.
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.
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.
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.