Insurance coverage of Nutrition Counseling varies from payer to payer. We will do our best to obtain necessary authorization prior to your appointment and notify you if your visit will not be covered.
As a result, we request a copy of your insurance card (front and back) prior to scheduling your appointment to ensure we have the information and are able to make the appropriate contacts in a timely fashion once you have scheduled.
If we receive notification from your insurance that you will not be covered, at the time of your visit, you will be asked to sign a waiver acknowledging that you will be financially responsible for the cost of your appointment.
If you have a secondary insurance to which you would like us to submit a claim, please bring a copy of that card with you to your first appointment and notify the staff.
Please note: for patients with Medicare Part B, consultations and follow-up nutrition visits are only covered with the diagnosis of either diabetes (not pre-diabetes) or renal failure. Either of these diagnoses must be present on the physician referral and/or progress notes uploaded at the end of this form. If neither of these diagnoses apply, you will be asked to sign an ABN at the time of your appointment.