Verifying Insurance Benefits

How do I find out if I have benefits for nutrition counseling?

Exciting news - we are now in-network with BCBS of Illinois PPO and Blue Choice!

To determine if your plan covers nutrition counseling services, please call your insurance company at the number on the back of your card and ask the following:

1. Does my plan cover outpatient nutrition counseling and medical nutrition therapy services? (CPT codes: 97802 and 97803)

  • If yes, how many sessions are allowed?

  • Does my plan only cover visits that are “medically necessary”? Or do they also cover preventative services? (We would use ICD-10 code Z71.3)

  • Does my plan cover telehealth services?

2. Do nutrition sessions go towards my deductible?

  • If yes, how much is my deductible?

  • If yes, how much of the deductible have I met?

3. Do I have a copay or co-insurance for outpatient nutrition counseling and medical nutrition therapy services?

  • If yes, how much is it?

4. Record the representative’s name and a reference # when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim.

If a medical diagnosis is required, please have your physician’s office fax me a referral at (855) 781-4098.