Often, yes, but it depends on your plan. Two people with the same insurance card can have very different nutrition benefits. The only way to know what your plan will pay is to ask your insurance company directly. This page gives you the exact questions to ask.
We cannot guarantee your coverage. It is your responsibility to know what your insurance covers.
We do run a benefits check for you, but it is not a guarantee. What we find is only what your insurance company tells us that day, and your insurance makes the final decision when it processes each claim. Below, we've broken down how to call your insurance yourself and get your own reference number.
You are responsible for any amount your insurance does not pay, including deductibles, copays, coinsurance, visit limits and denied claims.
Before your first visit, our team runs a benefits check with your insurance company and emails you what they told us: your plan type, deductible, copay or coinsurance, visit limits, whether you need a referral or prior authorization, and the reference number for our call. It is not a guarantee of payment, so please also call to check your benefits yourself and get your own reference number.
We are in-network with Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Curative, and Oscar Health (Oscar in New York only).
Find the Member Services number on the back of your insurance card.
Tell them you're asking about nutrition counseling with a registered dietitian by telehealth. The billing codes are CPT 97802 for the first visit and 97803 for follow-up visits.
Ask the 7 questions below.
Write down the representative's name, the date, and your own call reference number. If a claim is ever denied after you were told it was covered, that reference number is what makes an appeal possible.
Reply to our benefits email with what they told you, including the reference number. If anything is different from what we sent you, tell us before your first visit so we can check again.
Is nutrition counseling with a registered dietitian covered by telehealth at the in-network level? (CPT 97802 for the first visit, 97803 for follow-ups)
Does my deductible apply to these visits? How much is left, and when does it reset?
After the deductible, what is my copay or coinsurance?
Is there a visit limit, and how many visits have I used this year?
Do I need a referral or prior authorization?
Does coverage depend on the diagnosis?
Is my plan fully insured, or self-funded by my employer? (Your HR or benefits team can also tell you.)
If your employer pays claims itself (a self-funded plan), your employer's plan decides what's covered, even if your card says Aetna, Anthem, or UnitedHealthcare. These plans can leave out nutrition visits or limit them, even when the insurer's other plans cover them. Your HR or benefits team can tell you which kind of plan you have.
Blue Cross Blue Shield plans work differently from other insurance. When you call, ask about your in-network benefits for nutrition counseling with a registered dietitian (CPT 97802 and 97803). Don't give them our practice name, NPI, or tax ID. Your plan's member line only sees its own state's network, so if your plan is from outside New York, it may say it can't find us or that we're out of network. Out-of-state Blue Cross Blue Shield claims go through BlueCard, a national program that links all Blue plans, and are processed through our New York Blue plan. PPO plans usually work this way. HMO and EPO plans can deny out-of-state care, so ask what kind of plan you have.
You can still work with us. Private pay is $165 per session, and the introductory call is free. We can also give you a superbill after each session, which you can send to your insurance to ask about out-of-network reimbursement. Whether you get paid back is up to your plan, and we can't guarantee it.
