Many people are surprised to learn that their health insurance includes benefits for nutrition counseling, even if they’ve never used them before.
Nobody likes surprises, especially when it comes to healthcare costs. That’s why I encourage you to understand your benefits before your first appointment. Knowing what your plan covers, and what you may be responsible for, can make getting started much easier.
I’ve put together the information below to help you understand the process, check your benefits, and know what to expect.
Yes. I bill insurance for nutrition counseling and medical nutrition therapy when coverage is available. Coverage depends on your specific plan, so benefits should always be verified directly with your insurance company.
When nutrition counseling is covered, your plan may include:
Coverage is usually tied to a qualifying diagnosis and may include limits on the number of visits per year, as well as copays, coinsurance, or deductibles. Some plans also offer preventive nutrition coverage.
Call the member services number on the back of your insurance card and ask the following questions:
Ask:
“Do I have coverage for nutrition counseling or medical nutrition therapy?”
“Do I need a referral from my primary care provider?”
“Are there limits on the number of visits per year?”
“Is telehealth covered?”
“Is there a copay, deductible, or coinsurance I should know about?”
Most insurance companies — including plans through Cigna, Aetna, Blue Cross Blue Shield, UnitedHealthcare, and others — cover nutrition counseling, but details vary by plan.
I recommend writing down the representative’s name and the date of your call in case you need to reference it later.
Some insurance plans require a referral, while others do not. Your insurance company can confirm whether a referral is required under your plan.
Many insurance plans do cover telehealth nutrition visits, but not all. When you call your insurance provider, be sure to ask specifically about coverage for virtual visits.
Possibly. Even when nutrition counseling is covered, your plan may include:
After your visit, your insurance company will send an Explanation of Benefits (EOB) outlining what was covered and whether any balance is your responsibility.
You can still work with me on a self-pay basis. I’ll be happy to discuss those options with you before your first appointment. I can also provide a superbill, which some clients choose to submit to their insurance for possible reimbursement.
HSA and FSA payments are accepted.
Not always. Some supportive services — such as personalized meal planning or specialty lab testing — are typically not covered by insurance. These services are optional and are always discussed in advance.
Yes. If you’re unsure about your benefits or want clarification before booking, you’re welcome to reach out. The goal is for you to feel informed and comfortable before getting started.
I am in network with:
Blue Cross Blue Shield Including Anthem in Connecticut and most Blue Cross Blue Shield plans
• Aetna • Cigna • UnitedHealthcare • Medicare
Coverage varies by individual plan, even within the same insurance company. Your specific benefits may depend on your plan, diagnosis, deductible, and other factors.
Don't see your insurance listed? Get in touch. I'm happy to let you know whether I participate with your plan or discuss self-pay options if needed.
Before your first appointment, I recommend checking your nutrition counseling benefits directly with your insurance company.
I’ve created a simple Insurance Benefits Checklist with the questions to ask, including coverage for preventive nutrition services and Medical Nutrition Therapy, visit limits, referrals, telehealth, deductibles, copays, and coinsurance.
You can keep it in front of you while you call the Member Services number on the back of your insurance card and use the space provided to record your answers.
If your insurance doesn’t cover nutrition counseling, or if you prefer not to use insurance, self-pay appointments are available.
Payment is due at the time of your visit.
HSA and FSA cards are welcome for eligible services.
If you've confirmed your benefits and you're ready to begin, you can schedule your first appointment online. Not sure about your coverage or have a question before scheduling? Get in touch and I'm happy to help you determine your next step.
If you're not sure whether my services are the right fit, get in touch. I'm happy to answer your questions and, if helpful, arrange a brief 15-minute phone call.