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Preventive Services are generally reimbursed at 100%. (Preventive covers a wide range of nutrition disease related problems and usually allows 3-6 visits per year depending on your policy.)
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Cigna also reimburses for other nutrition counseling services not classed as Preventive but may require a co-pay at the time of your visit. We are listed under specialist on your insurance card for co-pays.
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Physician referrals are not required.
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Preventive Services are generally reimbursed at 100%. (Preventive covers a wide range of nutrition disease related problems and usually allows 10 visits per year depending on your policy.)
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Aetna also reimburses for other nutrition counseling services not classed as Preventive but may require a co-pay at the time of your visit.
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Up to 10 one hour visits allowed per year for preventive services.
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Each visit is limited to one hour.
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Physician referrals are not usually required for PPO plans but are required for HMO plans.
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Must have a physician's referral
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Check with your insurance company since there are many variances with Humana
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Usually pay for Diabetes and some other diagnoses
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Humana Medicare will only pay for Diabetes & Chronic Kidney Disease
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With Humana, it is best to get a pre-authorization prior to coming to see one of our dietitians.
Most Insurance Companies will reimburse for Nutrition Counseling at 100% under Preventive Care. Diabetes and Chronic Kidney Disease may also be covered at 100% by most policies. Other nutrition related diseases may require a co-pay but check with your insurance company or contact us for more information.
Why not take advantage of this service that is part of your policy?
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Preventive Services are generally reimbursed at 100%. (Preventive covers a wide range of nutrition disease related problems and usually allows 3-6 visits per year depending on your policy.)
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BCBS also reimburses for other nutrition counseling services not classed as Preventive but may require a co-pay at the time of your visit.
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Physician referrals are not required for PPO plans but are required for HMO plans.
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Medicare reimburses for only two diseases, and they are:
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Diabetes
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Chronic Kidney Disease (CKD) - Stages 3 & 4 and Stage 5 if not on dialysis.
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We must have a physician's referral for all Medicare patients signed by your Primary Care Physician (PCP) for diabetes or CKD in order for your Medicare to reimburse for our services otherwise you will need to pay out of pocket.
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You are allowed 3 hours for the first year and 2 hours with the RDN in subsequent years unless your medication or signs and symptoms change and then more time may be requested from Medicare.
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Medicare patients that would like to see us for a nutrition related diagnosis other than diabetes or chronic kidney disease, may do so but will be expected to pay out of pocket at the time of your session if you do not have a secondary insurance policy.
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Must have a physician's referral
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Check with your insurance company since there are many variances with Wellcare
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Usually pay for Diabetes and some other diagnosis
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Medicare plans will only pay for Diabetes & Chronic Kidney Disease