Do we Accept Insurance for Nutrition Visits?

Yes, we do accept insurance!

You might be wondering if your health insurance covers visits with a Dietitian on our team.

The great news is that most insurance companies cover nutritional counseling. However, Florida has unique rules for commercial insurance, so we strongly recommend verifying your coverage before booking. Most of our clients pay $0 out of pocket, but if your insurance does not cover the visit, our self-pay rates apply:

  • Initial Assessment: $200

  • Follow-up Appointments: $100

Insurance Plans That Do Not Cover Nutrition Counseling:

Unfortunately, the following plans do not cover our services:

  • Aetna BetterHealth

  • Humana Healthy Horizons

In-Network Insurance Plans:

We are currently in-network with the following insurance providers:

  • Aetna – Medicare** and Commercial

  • Ambetter – Bronze, Silver, and Gold

  • Cigna – Commercial

  • Blue Cross Blue Shield (Telehealth only)

  • UnitedHealthcare Community Plan

  • UnitedHealthcare Commercial and Medicare (contract pending)

  • Devoted Health Medicare (Effective May 1, 2025)

  • Humana Medicare

  • Sunshine Medicaid

  • WellCare Medicare

  • Freedom & Ultimate Health Medicare

  • Multiplan (Starting May 2025)

Medicare Plans Require a Physician Referral:
For Medicare, a referral from your doctor is required with a diagnosis of

  • Diabetes (E11 or greater)

  • Chronic Kidney Disease (CKD) Stage 3A or greater (N18.3 or greater)

Fax all referrals to: 352-352-9390 | Our TAXID is 93-246846, NPI 1477330603

Verifying Your Insurance Coverage

It is the responsibility of our clients (not our team) to confirm coverage before scheduling an appointment. While we do our best to verify benefits, you will be responsible for any charges not covered by your insurance.

Here’s how you can check your coverage for nutritional counseling:

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

  2. Ask: "Do I have coverage for nutritional counseling with a registered dietitian?"

  3. If they ask for CPT codes, provide the following:

    • Primary codes: 97802 (Initial assessment) or 97803 (Follow-up visit)

    • If these are not covered, ask about: 99401, 99402, 99403, 99404, or S9470

  4. They may also ask for a diagnosis code (ICD-10). Use:

    • Primary code: Z71.3 (Dietary counseling)

    • Alternate code: Z72.4 (If the first is not covered)

  5. If you have any of the following conditions, ask if they provide coverage under these diagnoses:

    • Overweight or obesity

    • Pre-diabetes or diabetes

    • Hypertension

    • High cholesterol

We use preventive codes whenever possible to help maximize the number of covered visits.

💡 Important Note: Some diagnoses (such as IBS without overweight/obesity) may require you to pay a portion of the visit cost through a deductible, copay, or coinsurance. Your insurance provider will also determine how many visits are covered per year.

If you have any questions, feel free to reach out—we’re happy to help! 😊