Will Your Insurance Cover Nutrition Counseling
Athens Nutrition accepts Blue Cross Blue Shield (BCBS), Highmark, and United Healthcare and we will bill your insurance company directly. If you have another type of insurance, we will provide you with a receipt so you can submit the claim directly to your insurance for out of network coverage.
You are responsible for understanding your benefits for nutrition counseling and we suggest you contact your insurance representative to verify your coverage.
Here are some questions to ask when contacting your insurance.
How to find out about your insurance coverage for nutrition counseling
Step #1
Locate the member services/customer service number on the back of your card. Call that number to verify your coverage.
Step #2
Questions You Should Ask Your Insurance Company
1. What is my policy type?
HMO PPO POS
2. Is my insurance a FULLY funded plan?
Yes or No.
If No, is this a SELF-funded plan? Yes or No.
If yes, self-funded plans may not have nutrition counseling benefits.
3. Does my policy adhere to the ACA (Affordable Care Act)? Yes or No
4. Does this policy have Nutrition Counseling/Medical Nutrition Therapy benefits? Yes or No
5. Do I have out of network coverage?
Yes or No
6. Which CPT codes are covered on this policy?
97802 97803 99401-99404
Eating Disorders
7. Are BOTH preventive nutrition services covered under Health Care Reform AND medical benefits covered? Yes or No
8. Does this plan cover telehealth services?
Yes or No
9. Is there a copay? Yes or No
10. Is there a deductible? Yes or No
11. Does this plan require an MD referral?
Yes or No
12. How many visits per year are covered?
13. Obtain the Reference Number for the call.
Step #3
Provide the NPI Numbers for Athens Nutrition to verify in-network coverage.
In-Network Information for BCBS, Highmark and United Healthcare
Group NPI Number
Individual NPI Number