Most health insurance companies cover nutrition counseling as preventative health, which means more often than not, you pay nothing.
In Network
Blue Cross Blue Shield/Anthem
Humana
Medicare
Molina Health
United Healthcare
Superior Health (& Ambetter)
Out of Network Coverage Below
Blue Cross Blue Shield/Anthem
Humana
Medicare
Molina Health
United Healthcare
Superior Health (& Ambetter)
Out of Network Coverage Below
Fee is $160 per hour for Medical Nutrition Therapy.
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.
Our Billing Address is:
3511 Shore Shadows Dr.
Crosby, TX 77532
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.
Our Billing Address is:
3511 Shore Shadows Dr.
Crosby, TX 77532
How To Verify Your Insurance Coverage
Call the Member Services Number on the Back of your Insurance Card and provide them with the information below:
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 or Z72.4 (these are the most common).
Have ready any other medical diagnosis ICD-10 Codes for any other medical conditions you have, that have been diagnosed by a physician (see reference document below).
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
If yes, please call your physician to obtain an insurance referral PRIOR to your visit and have them fax it to us. HMO’s are required, and generally this is done electronically by your physician – we will help guide you through this process if needed
Does my plan cover telehealth □ Yes □ No
Please note that if No, we can arrange for an in-home office visit.
Will my plan cover nutritional counseling as part of my preventative health services under the Affordable Care Act or Health Care Reform? □ Yes □ No
We suggest you record the date, time and name of the representative and keep this information for your records.
Date: _______________________ Time: ________________________
Name of Rep: ______________________________________________
Ref. # __________________________
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 or Z72.4 (these are the most common).
Have ready any other medical diagnosis ICD-10 Codes for any other medical conditions you have, that have been diagnosed by a physician (see reference document below).
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
If yes, please call your physician to obtain an insurance referral PRIOR to your visit and have them fax it to us. HMO’s are required, and generally this is done electronically by your physician – we will help guide you through this process if needed
Does my plan cover telehealth □ Yes □ No
Please note that if No, we can arrange for an in-home office visit.
Will my plan cover nutritional counseling as part of my preventative health services under the Affordable Care Act or Health Care Reform? □ Yes □ No
We suggest you record the date, time and name of the representative and keep this information for your records.
Date: _______________________ Time: ________________________
Name of Rep: ______________________________________________
Ref. # __________________________
| diagnosis_codes_for_nutrition_therapy.pdf |
Out of Network Coverage
Do you have insurance with another company like Aetna or Cigna, we can still help you and can offer the following options:
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.
- File using your Out of Network Benefits OR you pay us upfront, and we will provide you a superbill monthly so you can request reimbursement through your insurance company.
- If you do not plan on using your insurance, checkout our wellness coaching options!
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.