IN-NETWORK WITH:

AETNA, BLUE CROSS BLUE SHIELD (BCBS), CIGNA, AND UNITED HEALTHCARE

*** ALL PATIENTS/CLIENTS ARE REQUIRED TO VERIFY NUTRITION BENEFITS WITH THEIR INSURANCE PRIOR TO INQUIRING. THE PATIENT/CLIENT IS RESPONSIBLE FOR PAYMENT OF THE FULL SESSION IF THE INSURANCE DENIES CLAIMS FOR ANY REASON. ***

Call the (800) Member Services line located on the back of your insurance card and ask to speak with a representative.

Questions to ask:
1. “Does my insurance plan cover nutrition counseling/medical nutrition therapy? If yes, is my specialist provider in-network?”

1. CPT codes if needed: 97802 and 97803. If limited or no coverage with those codes, please provide them with 99401-99404.

2. Provider name: Emily Ho

3. National Provider Identifier (NPI): 1932869484

4. Office name: Empowering Nutrition

5. Tax ID: 87-3152118

2. “Will my diagnosis be covered?”

1. ICD-10 Diagnosis code: Z71.3. — this is a preventative code, used to maximize the number of nutrition visits you receive from your insurance carrier.

2. If you have a medical diagnosis such as diabetes or pre-diabetes, high cholesterol, high blood pressure, etc. you may inquire about that as well.

3. “How many visits do I have per calendar year or 12-month period?”

4. ****IMPORTANT***** “Will visits go towards a cost-share such as co-pay or deductible? Is the coverage the same for telehealth visits?”

5. Please write down the name of the representative, date, and call reference number for your records.

If your insurance does not cover nutrition counseling, please inquire about your plan’s out-of-network benefits (if applicable). A superbill will gladly be provided to you if needed.