Insurance for Nutrition Care, Eating Disorder Treatment, and Medical Nutrition Therapy

Here’s an easy three-step process to find out if you’re covered! 

Step One: Call your insurance provider (the number on the back of your insurance card) and have your insurance ID and reason for the visit ready.

 

Step Two: Call the member services number on the back of your card and ask:

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1. Does my plan cover outpatient nutrition counseling? (codes: 97802 and 97803)

• If yes, how many how many sessions are allowed?

• Does my plan only cover visits that are “medically necessary” or does it also cover preventive services? (code: Z71.3)

1. Does my plan cover telehealth for nutrition counseling? (location code: 02)

2. Do I have a deductible to meet first?

• If yes, how much is my deductible?

• How much of the deductible have I met?

1. Do I have a copay for outpatient nutrition counseling?

2. Do I need a physician referral?

3. Record the representative’s name and a reference # when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim.

 

Step Three: Make an appointment and get started!

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Please Note: Insurances sometimes say one thing and then commit to another. This form can be helpful with facilitating a conversation to verify your benefits however, we are not held responsible for charges that your health insurance may bill as this is out of our control unfortunately.