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Checking your benefits

New clients: Check your insurance benefits to ensure your insurance covers nutrition counseling  following the steps below.

 

Existing clients: It is highly recommended that you reconfirm your coverage when your policy renews annually.  Confirming your benefits is easy! 

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Commercial Insurance Plans

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We are in-network with Blue Cross Blue Shield PPO and Blue Choice plans, UnitedHealthcare*, Aetna** and Cigna. 

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Call the member services number on the back of your card or call your HR rep/benefits coordinator and ask the following:

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  1. Does my plan cover nutrition counseling: CPT Codes 97802, 97803, 97804, S9470 or 99404 ?

  2. Are any diagnosis code exclusions?

  3. Is there a visit limit maximum?

  4.  Is telehealth (virtual sessions) covered?

  5. If they say you don't have coverage, ask if you have coverage for nutrition counseling or Medical Nutrition Therapy under preventative care under the "Healthcare Reform Act" OR ask if they will partially reimburse you if Nutriquity provides you a superbill for any session you pay for out-of-pocket.

  6. At the end of the call get a reference number and keep it for your records.

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*Unitedhealthcare members please check your benefits as coverage varies by plan. You will need a doctor's referral  with diagnosis code E66.9 (BMI >30) or with diagnosis code e66.3 (BMI >25) + a cardiovascular risk factor.    UHC may also cover eating disorders (ICD F50.00-F50.9)See pages 20-23 of UHC's preventative care services list.

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** Aetna members will need a doctor's referral with with diagnosis code E66.9 (BMI >30) or diagnosis code e66.3 (BMI >25) + a cardiovascular risk factor.   Aetna may also cover eating disorders (ICD F50.00-F50.9)More information can be found HERE.

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Patients or doctors can fax referrals to 708-742-7868

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A referral is generally NOT needed for Cigna and Blue Cross Blue Shield unless otherwise specificed by your plan.

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