Do we Accept Insurance for Nutrition Visits?

Yes we do!

You may be wondering if you can use your health insurance to see a Dietitian on our team.

The amazing thing is most insurance companies cover nutritional counseling but Florida is a finicky state for commercial insurance, so we ask that you always confirm that your visits are covered at a cost that works for you (most clients pay $0 out of pocket), otherwise you are required to pay our selfpay rate of $180 for an initial assessment and $100 for any subsequent appointments.

At this time we accept:

  • AETNA - all forms

  • AMBETTER - all forms

  • Cigna / Cigna Allegiance

  • OON Florida Blue - limited coverage

  • UHC Medicaid

  • OON UHC - Deductible / Co-ins

  • Devoted Health - All forms

  • Humana - All Forms

  • Sunshine Medicaid

  • Wellcare

  • Pending: Freedom Health, VA CCN

  • We provide a superbill, as needed

Confirming coverage is always the responsibility of our Clients (not our team) prior to scheduling an appointment

So here is how you accomplish this:

  1. Call the 800 number on the back of your insurance card and ask to speak to a representative

  2. Ask them, “do I have nutritional counseling coverage on my plan?”

  3. If they ask for a CPT code, use 97802 or 97803. If they deny that you have this covered, NEXT ask about CPT codes 99401, 99402, 99403, or 99404. You may also be able to utilize code S9470.

  4. They may ask for a diagnosis (AKA an ICD 10 code), please tell them Z71.3 (or Z72.4 if the first option is not covered).

  5. If you are overweight, obese, have pre-diabetes, diabetes, hypertension, or cholesterol, you make want to see if if you have coverage for these diagnosis as well.

  6. We utilize a preventative code (if applicable) to ensure you are able to maximize your visits with a Dietitian.

  7. Some diagnosis, such as IBS (if not overweight) may require a cost-share in the form of a deductible, co-pay, or co-insurance.

  8. Your carrier will determine how many visits you have per year.