Does Insurance Cover a Nutritionist?

The short answer to this question is YES!  Most insurance carriers recognize that they get a lot of bang for their buck when their members improve their health through better nutrition.  Insurance companies usually do cover the cost of nutrition counseling, and many of them offer unlimited visits.  I've listed the most frequently asked questions about insurance coverage for nutrition counseling below.

does insurance cover a nutritionist

Your insurance plan may cover the cost of nutrition counseling.

Most of the time, health insurance does cover nutritional counseling. This is true EVEN if you don’t have a medical diagnosis BUT still want to come in for nutrition counseling for the prevention of disease.

Why not check to see if your insurance policy will cover the visits? Start by calling the phone number on the back of your insurance card and ask to speak with a representative.

The information below will walk you through the steps to take to see if your insurance will cover the cost of your nutrition counseling visits.

Which insurance companies consider Julie a “preferred provider”?

I'm in-network with BCBS, United Healthcare, Ambetter of NC, and Medicare Part B of NC.

Medicare only covers diabetes — not prediabetes — and kidney disease.

See Medicare's rules for nutrition coverage here. 

Your office is a long drive. Will insurance cover phone or video visits?

At this time, most insurance carriers will cover virtual visits.  If you are located in any of the following states, I can work with you via telehealth:

  • North Carolina (my physical office is in Hendersonville)
  • Alaska
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Hawaii
  • Idaho
  • Indiana
  • Massachusetts
  • New Hampshire
  • New York
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

What happens if Julie isn't in-network with my insurance?

If your insurance carrier considers me out of network (Aetna, Cigna, and others) you will need to pay for your counseling session at the time of service.

I am happy to provide you with a “Superbill”, which is an invoice that you can submit to your insurance company for reimbursement. Reimbursement is based on your particular insurance policy. Please call your insurance company’s member services number to verify how reimbursement works under your current insurance policy.

Please note:  if you have insurance which considers me as out-of-network, I cannot submit directly on your behalf – I can only supply you with the appropriate paperwork. Therefore, payment is due at the time of service. 

Initial visits (one hour) are $160.00 and each 30-minute follow-up visit is $70.00. Visits are billed in increments of 15-minute blocks of time, and fees are pro-rated according to the length of the visit.  I accept cash, check, and major credit cards.  I require a credit card to hold your appointment.

What questions do I need to ask my insurance company?

Does my insurance cover nutrition counseling?

  • If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803.

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 $160.00 is due at the initial visit and $70.00 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.