I am currently in network with Medicare, Aetna, and Blue Cross Blue Shield of Michigan (Medicare Supplemental only). For Medical Nutrition Therapy, Medicare generally covers the diagnoses of Diabetes or Chronic Kidney Disease (non-dialysis). It is always a good idea to call your insurance provider to verify benefits. Each plan can be different, even under the same insurance provider. If you need help with reaching your insurance provider, or more information on the codes used, don’t hesitate to reach out. I can add you to PracticeBetter (free for you!) and send over a “Verifying Your Insurance” page that walks you through exactly what to ask your company!
I think it is also good to note that just because I am not in-network with your insurance, does not automatically mean they will not pay. It is always best to call and ask! It is also good to note that *most of the time* Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) will cover dietitian services!
Common Codes Include:
CPT Codes: 97802 (Initial Visit), 97803 (Follow-Up Visits)
ICD-10 Codes: These can be found on your referral form from your physician. If you are looking to meet with me for preventative reasons, please inquire about Z71.3.
Sometimes, you will need a referral from an MD or DO. If you see a Physician’s Assistant or Nurse Practitioner, they will generally have a doctor over them who can sign. This is a question I include on the “Verifying Your Insurance” page! If you need help with this process, feel free to reach out!
I am working to get credentialed with several health insurance companies. You may still be eligible for reimbursement in the meantime.
If your insurance is one that I am not in-network with, you will be responsible for payment at the time of service via cash or credit card. Once your balance is paid you will be provided with a superbill to submit to your insurance provider to request reimbursement. If accepted, your insurance provider will reimburse you directly. Note that a superbill does not guarantee reimbursement. I highly recommend checking with your insurance company prior to meeting with me (I can help walk you through this process, if desired!)