Insurance Information
Did you know?
You CAN use your health insurance benefits
for nutrition services!
Nutrition counseling is often a covered benefit with many insurance companies.
While some policies will only cover nutrition services if you have been diagnosed
with certain medical conditions, other policies may cover nutrition counseling
for prevention (preventative benefits).
Navigating Insurance coverage can be confusing! You can use this form to
verify coverage of nutrition services.
Download the form, call your insurance carrier, and get all the answers to get started with personalized nutrition counseling.
Verification of benefits Form
How it works
Call your insurance carrier to learn about your coverage for nutrition services.
IF not using insurance you can book your initial visit now.
Email us at info@nourishrd.com with any questions.
Since most insurances require this, ask your MD to fill out this referral form and fax it to us at 808-663-0321.
Use this referral form if you have Medicare.
Once we have all required documentation you'll get
a link to book your session.
You'll also receive access to our patient portal, intake forms. Please fill these out at least 48 hours before our session.
I'm ready
BOOK YOUR SESSION
Verify Benefits
Get MD referral
Book your session
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We look forward to supporting you in reaching your health goals!
Send us an email with your questions about verifying health
insurance benefits or call us at 646-400-8723.
Have more questions?
We are in-network with most insurances including HMSA, HMAA (Hawaii Medical Assurance Association) and Medicare. While we are in network, each client policy is unique, which is why nutrition benefits have to be verified prior to your appointment. We do not accept Medicaid or any Medicaid plans.
What insurance companies are you in-network with?
Insurance FAQs
We recommend calling the 800 number on the back of your insurance card and asking the following questions (or use this form):
- Are nutrition counseling services covered under my policy?
- If they ask you for a CPT code, provide them with the following codes: 97802 & 97803. If they tell you that you do not have coverage for those codes, ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404.
- Does my policy cover nutrition services for the following ICD-10 codes: Z71.3 and/or Z72.4. If they say, “no,” ask them what diagnosis codes are covered.
- How many visits are covered per calendar year?
- Is a physician referral required?
- Have I met my deductible? If you have not met your deductible, you will pay out of pocket for nutrition services. This amount will then be applied towards your deductible.
- Do I have a copay for nutrition services? Nutrition is considered a specialty, so typically the specialist copay is applicable to your visit.
- If needed, please download this MD referral form (Or Medicare referral form)and have your doctor’s office fax to us at 808-663-0321
How do I know if my insurance policy covers nutrition counseling services?
If you have a high deductible plan, you will pay out of pocket for nutrition counseling at the time of service. The amount will be applied to your deductible until you have met it.
What if I have a high deductible health insurance plan?
In the event we are not in-network with your insurance company, ask your insurance if you have any out-of-network benefits for nutrition services. If yes:
Reimbursement is not guaranteed and will depend on your policy and whether or not you have any out-of-network benefits.
PLEASE CONTACT US IF WE ARE NOT IN-NETWORK AND YOU DO NOT HAVE OUT OF NETWORK BENEFITS.
- You can book your session and pay out of pocket for nutrition counseling at the time of service
- We will then provide you with a “superbill” (itemized healthcare receipt)
- You file a claim with your insurance company for possible reimbursement
Reimbursement is not guaranteed and will depend on your policy and whether or not you have any out-of-network benefits.
PLEASE CONTACT US IF WE ARE NOT IN-NETWORK AND YOU DO NOT HAVE OUT OF NETWORK BENEFITS.
What if you are not in-network with my insurance company?
- Medicare ONLY covers nutrition counseling services if you have a diagnosis of Type 1 Diabetes, Type 2 Diabetes or Renal/Kidney Disease.
- Nutrition services for the above conditions are covered at 100%, meaning you will have no out of pocket cost!
- Medicare requires a referral from a Physician (MD/DO) in order to cover nutrition services. They will not accept any referrals from a Nurse Practitioner (ARNP) or Physician Assistant (PA).
- If you are seeking nutrition services for a condition OTHER than the above covered diagnoses (Diabetes or Renal/Kidney Disease) and you have Medicare AND a supplemental insurance policy OR a Medicare Advantage plan, it is possible nutrition services are covered. We can help you verify these benefits. You will still need a referral from your physician.
- Please download our Medicare Referral Form and have your physician fax it to us at 808-663-0321
