Currently only offering virtual telehealth appointments
Currently in network with Aetna (WebTPA), Ambetter,
Blue Cross Blue Shield/Health Advantage, Qualchoice, Medicare, United Healthcare, and Wellcare by Allwell
I am in the process of getting in network with Tricare
To confirm that your visit will be covered, you can call your insurance provider and ask the questions below:
For Aetna and United Health patients, feel free to reach out to me as I can check on their insurance portal, without calling.
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"I am specifically wanting to look at my coverage under preventative visits that is covered under the Affordable Care Act with $0 patient cost sharing." The procedure codes (CPT codes) are 97802 and 97803, when asked.
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Are there any specific diagnosis listed with that CPT code? Ask specifically about the diagnosis code Z71.3 and if it is covered as preventative.
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Do I need a referral or prior authorization for procedure codes 97802 and 97803?
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How many visits are covered?
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Do I have a deductible to meet before insurance pays?
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Will I have a copay or coinsurance?
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Is Whitney Holland, Registered Dietitian (NPI 1083116941) covered under my plan? If not, what are my out of network nutrition benefits?
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    Write down the date, reference # for your call, and the name of the person you spoke with.
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A note for Medicare Patients:
Medicare currently only covers nutrition therapy for diabetes and CKD (non-dialysis). If you would like to be seen for any other condition, please reach out and we can discuss self-pay rates.
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Out-of-Network Benefits
If I am not in-network with your provider, you may still have coverage. We provide superbills—detailed invoices you can submit to your insurance company for potential reimbursement. Many PPO plans offer significant out-of-network benefits for medical nutrition therapy. Feel free to reach out with any questions you may have!
Flexible Self-Pay Options
For those without insurance or who prefer to pay privately, we offer transparent self-pay rates that bypass the insurance process entirely. This option provides the highest level of privacy and flexibility for your care. Contact us to learn more about our current package options and how we can best support your health journey.
Financial FAQs
Do I need a doctor's referral?
While some insurance plans require a referral for nutrition counseling, many allow you to self-refer. We recommend checking with your insurance provider or asking our team for guidance before your first visit.
Is there a copay for nutrition counseling?
Many preventative nutrition services are covered at 100% with no copay under the Affordable Care Act. However, some plans may require a specialist copay. We can help you verify this during your benefit check.
How are superbills different from typical bills?
A superbill is a detailed receipt for services provided. If we are out-of-network for your plan, you pay for the session upfront and we provide a superbill that you can submit to your insurance for potential reimbursement.
What if my claim is denied?
If a claim is denied, our billing specialist will review the reason and assist in the appeal process if appropriate. We strive to be transparent about potential costs and help you navigate coverage disputes.