What questions should I ask when calling my insurance company?
Do I have nutritional counseling coverage on my insurance plan?
• If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404.
Will my diagnosis be covered?
• If the representative asks for a diagnosis code – please tell them the visit is coded the ICD 10 code: Z71.3
• I always code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.
How many visits do I have per calendar year?
• Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.
Have I met my deductible?
• In the event you have a deductible I will not be able to initially bill your insurance company directly. Therefore, payment of $150.00 is due at the initial visit and $75.00 is due at each follow up visit.
• I will provide you will the appropriate documentation to submit to your insurance company to show receipt of the services. This will allow you to “pay down” your deductible. Once your deductible has been met and you have nutrition services on your policy, I can then directly bill your insurance company.
Do I have a co-pay for nutritional counseling?
• For most insurance companies I am considered a specialist. Therefore, your specialist co- pay is applicable and is payable at the time of service. This information is often apparent on the front of your actual insurance card.
• If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404.
Will my diagnosis be covered?
• If the representative asks for a diagnosis code – please tell them the visit is coded the ICD 10 code: Z71.3
• I always code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.
How many visits do I have per calendar year?
• Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.
Have I met my deductible?
• In the event you have a deductible I will not be able to initially bill your insurance company directly. Therefore, payment of $150.00 is due at the initial visit and $75.00 is due at each follow up visit.
• I will provide you will the appropriate documentation to submit to your insurance company to show receipt of the services. This will allow you to “pay down” your deductible. Once your deductible has been met and you have nutrition services on your policy, I can then directly bill your insurance company.
Do I have a co-pay for nutritional counseling?
• For most insurance companies I am considered a specialist. Therefore, your specialist co- pay is applicable and is payable at the time of service. This information is often apparent on the front of your actual insurance card.
What to Expect at Your First Appointment:
During your initial appoinment we will review your medical and health history, explore your relationship with food and discuss what is presently going on with you and your eating. Then, we will explore what your nutrition goals are, understand your body image and relationship with food. Ultimately, we will outline your ideal quality of life and wellbeing goals. During our nutrition therapy sessions, we work together to re-build your relationship with food and your body so that you can live a full life FREE of diets, food guilt and body shame.
