Insurance FAQs
As dietitians, we can bill for Medical Nutrition Therapy using either preventive or medical codes (such as an eating disorder diagnosis or diabetes). If there is an eating disorder diagnosis, you should have unlimited visits due to the recently passed Mental Health Parity and Addiction Equity Act (MHPAEA).
If we do not have a diagnosis and there is no preventive coverage, we are unable to bill the insurance company for Medical Nutrition Therapy and you can pay our discounted cash pay rates: Initial session $185 | Follow Up $165
You can check your coverage of Medical Nutrition Therapy by calling the Customer Service phone number on the back of your insurance card and asking if you have coverage for Medical Nutrition Therapy codes 97802, 97803 and 99404. If you have a diagnosis, mention this as well. We are also more than happy to check your benefits if you fill out our Insurance Benefits Check form.
We are considered a Medical Specialist, so your copay/coinsurance will be higher than what you pay to see your Primary Care Provider. This amount is usually listed on the front of your insurance card.
Insurances Accepted
Aetna
Most Aetna policies provide 10 general nutrition visits. After the 10 visits, you will either be charged a higher copay or coinsurance, or we will need a diagnosis (such as an eating disorder diagnosis or a medical diagnosis like diabetes) to continue coverage. We are in network with all plans except EPO or marketplace plans.
Cigna
In network with most policies except for marketplace plans. 3 visits will be covered without a diagnosis, and beyond 3 visits, you will need a diagnosis in order for us to bill insurance.
Oscar
We are in network with some Oscar plans. Please fill out our Insurance Benefits Check form, and we will let you know if we are in network for you.
Multiplan
We are in network with some Oscar plans. Please fill out our Insurance Benefits Check form, and we will let you know if we are in network for you.
Tricare East
We are in network with Tricare East plans. If you have Tricare Prime, you will need a referral from your Primary Care Provider before we can schedule you. If you have Tricare Select, you do not need a referral. Tricare plans cover both preventive and medical codes.
We are not in network with Tricare West.
United Healthcare and UMR
We are in network with most policies except for HMO and marketplace plans. Most United Healthcare plans do not have preventive coverage, or if they do, they will charge a discounted rate.