Insurance
Most insurance companies cover nutrition counseling.
Your coverage for nutrition counseling can be with zero out-of-pocket cost per session.
We accept the following insurances:
Blue Cross Blue Shield
United Healthcare
Cigna
Medicare
Medicaid
Aetna
BlueCross BlueShield of Illinois
Nutrition counseling is generally covered either at no cost to you or with a co-pay.
We aim to use preventative coverage whenever possible, which should mean zero cost for you. Usually, a doctor’s referral is not required.
The number of covered sessions can differ depending on your insurance plan.
Insurance usually does not cover Inbody test, MedGem test, Food allergy test, Food intolerance test, meal planning, email consultations , courses, or reviewing food logs.
Coverage can vary, so it’s important to check your specific plan to understand your benefits.
United Health
Nutrition counseling is generally covered either at no cost to you or with a co-pay. We aim to use preventative coverage whenever possible, which should mean zero cost for you.
Usually, a doctor’s referral is not necessary unless it is indicated. The number of covered sessions can differ depending on your insurance plan.
Insurance usually does not cover Inbody test, MedGem test, Food allergy test, Food intolerance test, meal planning, email consultations , courses, or reviewing food logs.
Coverage can vary, so it’s important to check your specific plan to understand your benefits.
Medicare
Coverage Details: Under Medicare Part B, nutrition counseling is covered at no cost to you.
A doctor’s referral is required (you can obtain the referral form here).
Medicare covers 3 hours of counseling in the first calendar year and 2 hours in each subsequent year. Additional sessions may be covered if deemed medically necessary, but these require a new referral each calendar year.
Medicare does not cover Inbody test, MedGem test, Food allergy test, Food intolerance test, meal planning, email consultations , courses, or reviewing food logs.
Medicare Advantage/Supplement Plans
Coverage Details: Nutrition counseling is covered similarly to Medicare under your commercial plan, provided the dietitian is in-network with both Medicare and your insurance provider. We work with Blue Cross Blue Shield and United Healthcare. Co-pays and co-insurance may apply. For Medicare Supplements, Medicare Part B is billed, and the supplement is not used. A doctor’s referral is required (you can get the referral form here).
Medicare does not cover Inbody test, MedGem test, Food allergy test, Food intolerance test, meal planning, email consultations , courses, or reviewing food logs.
Cigna
Nutrition counseling is generally covered either at no cost to you or with a co-pay. We aim to use preventative coverage whenever possible, which should mean zero cost for you. Usually, a doctor’s referral is not necessary unless it is indicated. The number of covered sessions can differ depending on your insurance plan.
Insurance usually does not cover Inbody test, MedGem test, Food allergy test, Food intolerance test, meal planning, email consultations , courses, or reviewing food logs.
Coverage can vary, so it’s important to check your specific plan to understand your benefits.
Aetna
Medicaid SOON
SOON
For Verification
Verifying Your Nutrition Counseling Benefits
For commercial insurance, each plan may differ slightly.
We make every effort to bill under “preventative” benefits, which usually do not require co-pays or deductibles, but this is not always possible.
The number of covered visits may also vary by plan. We review insurance information before the first visit, but we strongly recommend contacting your insurance company directly to confirm your benefits.
Medicare clients do not need to verify their benefits, as these are standardized for all Medicare beneficiaries.
How to Verify
Call the number on the back of your insurance card and inform the representative that you want to check your nutrition counseling benefits. Be sure to ask:
-Is my dietitian in-network?
-Will I have a co-pay or co-insurance at the time of service?
-Is there a limit on the number of visits?
-Is telehealth/ in person covered?
The representative will ask you for the following information.
-Diagnosis code: Z71.3
-Procedure codes: 97802 and 97803
-NPI number of provider: 1801578174 or 1477392009
Out of Network Benefits
If HEALTHY ALL TIME is considered “out of network” or we do not participate with your plan, we can still work together.
You will need to pay at the time of service, and we will provide you with a superbill (a receipt for your insurance) that you can submit to your insurance company for reimbursement.
Insurance policies and procedures for submitting superbills vary.
Contact your insurance company to find out how to submit the superbill for reimbursement.
In-office visits and virtual visits
Mon - Fri: 9:00AM - 6:00PM
Sat 9:00AM - 3:00PM
