• 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.)

• 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.

• Physician referrals are not required.

• Must have a physician's referral

• Check with your insurance company since there are many variances with Humana

• Usually pay for Diabetes and some other diagnoses

• Humana Medicare will only pay for Diabetes & Chronic Kidney Disease

• With Humana, it is best to get a pre-authorization prior to coming to see one of our dietitians.

 

• 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.)

• BCBS also reimburses for other nutrition counseling services not classed as Preventive but may require a co-pay at the time of your visit. 

• Physician referrals are not required for PPO plans but are required for HMO plans.

 

• Medicare reimburses for only two diseases, and they are:

  • Diabetes

  • Chronic Kidney Disease (CKD) - Stages 3 & 4 and Stage 5 if not on dialysis. 

• 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.

• 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.

• 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.  

• Must have a physician's referral

• Check with your insurance company since there are many variances with Wellcare

• Usually pay for Diabetes and some other diagnosis

• Medicare plans will only pay for Diabetes & Chronic Kidney Disease

Check with your insurance company to see if they cover CPT code 97802 or contact our staff for assistance at 901-759-9337. Have your Insurance ID number ready.