Below are great questions to ask your insurance company to see if you have out-of-network benefits for nutrition counseling:
1. Does my plan cover out-of-network benefits for outpatient nutrition counseling (CPT Codes: 97802 + 97803)?
- If yes, how many sessions are allowed per plan year?
- Do I have preventative benefits for nutrition counseling?
- Does my plan cover diagnosis code Z71.3 with CPT code 97802? If yes, how many sessions are allowed per plan year?
2. Does my plan only cover medical nutrition therapy visits that are considered “medically necessary”?
3. Do I have a deductible to meet first? If yes, how much?
4. Do I need a physician referral? If so, the physician referral must be brought to the initial appointment or emailed.
5. What is my co-pay or co-insurance amount for outpatient nutrition counseling?
6. My dietitian provides superbill receipts for our sessions. How do I submit these for reimbursement, and how long does the process take to receive financial return?
CAN I USE MY FLEXIBLE SPENDING HEALTH ACCOUNT OR HEALTH SAVINGS ACCOUNT?
Yes! Clients often pay for sessions using FSA/HSA accounts.
I NEED SPECIALIZED TREATMENT BUT MY INSURANCE IS LIMITING MY OPTIONS.
Let’s talk. We understand that quality, specialized healthcare is not always accessible, and we do not want finances to be a barrier to working together. We maintain a limited number of slots at a discounted rate for clients who cannot afford our full rates. Please contact us to inquire if there are any reduced fee session times available at this time.