Insurance and Payment

Your insurance plan may cover nutrition counseling 100% for preventive services!

Use the script below to find out if you get this incredible benefit.

 

Health Insurance Accepted:

Blue Cross Blue Shield

Harvard Pilgrim Healthcare

Allways Health Partners

Aetna (All commercial plans except limited HMO. Must have a medical, eating disorder, or elevated BMI for coverage)

Cigna (Open Access Plus, PPO only)

Student Resources (United Healthcare)

UMR (HPHC/UHC Passport Plans)

If you do not see your insurance company listed, a Super Bill (detailed receipt of services rendered) may be provided. Many (not all) insurers will allow you to submit a Super Bill for reimbursement. 

For additional questions regarding fees and insurance, contact us at 617-744-9233.

Sliding Scale / Financial Assistance

We do offer a sliding scale for folks who require financial assistance, no questions asked. Please contact us for more information.

Insurance Script:

To find out if your insurance will cover medical nutrition therapy, call the number on the back of your insurance card and ask the following questions. Be sure to ask for a reference number and save this information someplace secure.

If needed, our group NPI is 1245843440.

  • Does my plan cover outpatient nutrition counseling in a private practice setting? (Service codes we use are 97802 and 97803)

    • If there are no nutrition benefits, you may be responsible for the fee-for-service.

  • If I do have nutrition benefits, does it only cover certain diagnoses? (ex: some plans will only cover Type 1 diabetes. Most insurance companies won’t tell you directly which diagnoses they cover.)

  • Does my policy require a referral, pre-authorization, or pre-determination?

  • How many visits do I qualify for each calendar or plan year?

  • What is my co-payment or co-insurance due at each appointment?

  • Do I have a deductible, and if so, will the cost of my nutrition appointment be applied to my deductible? (In this case, the patient will be responsible for the cost of the session out-of-pocket until the deductible is reached.)

  • Do my benefits cover telehealth for nutrition counseling?