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Health Insurance Coverage
Lots of health insurance companies cover nutritional counseling! Even if you do not have a diagnosis and you’re looking for nutrition counseling to prevent a disease.
Will insurance cover my visit with a Dietitian?
Coverage for nutrition visits differs for each plan and policy. You must check with your insurance provider to find out if you are covered. Call the service number on the back of your insurance card to speak with a representative
Compleat Wellness Studio currently participates with Blue Cross and Blue Shield, Cigna and Aetna.
Questions to Ask Your Insurance Provider:
Do I have nutrition counseling coverage on my insurance plan?
If they ask for a CPT codes, provide them with 97802 & 97803. If you do not have coverage for these codes ask them if you have coverage for codes 99401, 99402, 99403, 99404.
Will my diagnosis be covered?
If they ask for a diagnosis code, tell them the visit is coded ICD 10 code: Z71.3
If they do not accept Z71.3 then provide them with Z72.4 and see if that is covered. If you have a diagnosis of overweight, obesity, pre-diabetes, diabetes, hypertension, or high cholesterol you can see what your coverage is for these diagnoses as well. Many insurance companies provide unlimited preventative visits as long as it’s coded preventative
Are any diagnoses specifically excluded from my nutrition benefit?
How many visits am I covered for each year?
They will let you know how many visits your policy covers. This can range from 0 to unlimited.
Right now, due to the pandemic most insurance companies are covering for telehealth services. If you are interested in doing telehealth for some or all your appointments, ask if your nutrition counseling coverage includes telehealth visits.
Telehealth:
What if I am not covered? What if my co-pay is too high?
If you have a flex-spending account (FSA) or health savings account (HSA) you can use it to pay for appointments and co-pays. You will still need to check with your FSA or HSA to determine your eligibility for nutrition counseling. Your doctor may be required to sign a letter of medical necessity.
If you are not covered by insurance or prefer to pay out of pocket, you will need to pay for your counseling session at the time of your service. I am happy to provide you with a “Superbill” or an itemized invoice you can submit to your insurance company for reimbursement. The Reimbursement will be according to your insurance policy standards. You can call your insurance company to verify how reimbursement works under your current policy.
If you are paying cash or check the cost of your package will be due at the time of first visit, otherwise your credit card will be bill at the beginning of your month.
Can I use my insurance coverage to cover the costs of The Compleat Packages?
Yes, the visits you have covered can be deducted from your membership costs!
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