HEALTHCARE SHOULD BE AFFORDABLE & accessible

Oftentimes you are not required to have an actual diagnosis in order to get coverage. Many insurance companies cover nutrition counseling for preventative care.


 If you do have a diagnosis that requires nutrition intervention, that will be covered under medical nutrition therapy.

Sterling-VA-Health-Wellness-Coaching-That-Accepts-Insurance

Our Registered Dietitians currently accept:

  • Aetna

  • BlueCross BlueShield

  • Cigna

  • United Healthcare

  • Optima Health

  • Out-of-Network

FOLLOW THESE STEPS TO CHECK IF YOUR INSURANCE COVERS NUTRITION COUNSELING/MEDICAL NUTRITION THERAPY

  • Call the 1-800 Member Services line (located on the back of your insurance card) and ask:

  • Is nutrition counseling/medical nutrition therapy covered? If they ask for procedural/CPT codes, provide them the following:

    • 97802

    • 97803

    • 99404

    • S9470

  • Will my diagnosis be covered? If they ask for a diagnosis code, provide them the following:

    • Z71.3 

    • If you are overweight, obese, have pre-diabetes, diabetes, hypertension, or high-cholesterol, you may want to check your coverage is for these diagnoses as well

  • Do I need a referral or prior authorization?

  • How many visits are allowed per calendar year?

  • Is telehealth covered? If so, are the benefits the same as in-person visits? 

  • Have I met my deductible? If not, is the deductible waived for preventive nutrition counseling?

  • Do I have a copay or coinsurance?

  • Is my provider covered under my plan? If they ask for the providers NPI, provide them the following:

    • Huong (Malisa) Nguyen: 1568069557 or 1144981218

    • Kateri Rosenberg: 1184350621

    • Tax ID: 873807878
       

Write down the date, reference number, and representative’s name for your call.

Sterling-VA-Health-Wellness-Coaching-That-Accepts-Insurance
Sterling-VA-Health-Wellness-Coaching-That-Accepts-Insurance

IF OUR DIETITIAN IS OUT-OF-NETWORK WITH YOUR INSURANCE COMPANY

  • Option 1: Call the 1-800 Member Services line (located on the back of your insurance card) and ask:

  • Do I have out-of-network nutrition counseling/medical nutrition therapy coverage? If yes:

  • We may be able to provide you with a “superbill” and/or an itemized invoice you can submit to your insurance company for reimbursement. Reimbursement will vary based on your policy’s standards. 

  • If you are provided a superbill, you are responsible for the payment which is due at the time of service. Our dietitian cannot submit the superbill on your behalf, they can only provide you the paperwork for submission. 

  • Option 2: Use your HSA/FSA card

  • Option 3: Opt for our nutrition coaching option at a fraction of the cost of standard insurance rates