Does Dietitians On Demand Accept Insurance?
In-network coverage depends on each client’s insurance plan, state and each provider’s enrollment status. We will bill your insurance for you, however, you are responsible to know and understand your benefits. See the questions below that you can use when contacting your insurance.
Locate the member services number on the back of your card. Call your insurance company to check for benefits.
Here are questions to ask your insurance company:
1. Is my provider in-network or out-of-network? Do I have out-of-network benefits?
In Network – we will charge you for any deductible, co-pay, or co-insurance that your insurance does not cover. The rest of your appointment will be paid to us directly from your insurance company.
Out of Network–we can bill your insurance even if you only have out-of-network benefits. The cost of the appointment will be collected from you at the time of booking and you will be issued a refund for whatever reimbursement we receive from your insurance company.
2. Are telehealth visits covered?
You must ask if telehealth appointments are covered for CPT codes: 97802 (for initial consultations) & 97803 (for follow-up consultations). Due to COVID-19 most plans are currently covering telehealth.
3. Does my policy cover preventative nutrition counseling?
Many insurances now cover preventative nutrition counseling appointments at 100% without a diagnosis or doctor’s referral!
4. Ask if your plan covers:
ICD-10 Code z71.3 for Preventative Nutrition Counseling
5. Does my policy cover medical nutrition therapy for a specific disease or condition?
(Requires physician referral)
- E11- Type 2 Diabetes
- R73.09- Abnormal Blood Glucose (Pre-diabetes)
- E66.9- Obesity (BMI >30)
- E78.5- Hyperlipidemia/High Cholesterol
- K58.0/K58.9- Irritable Bowel Syndrome (IBS)
- K21.0- Gastroesophageal Reflux Disease (GERD)
- I10- High Blood Pressure (Hypertension)
- K90.0- Celiac Disease
- Z91.01- Food Allergy
6. Do I need a referral from my primary care physician?
Many private insurance plans do not require a referral for preventative nutrition services. However, for specific Medical Nutrition Therapy codes, you WILL need a physician referral.
All Medicare plans REQUIRE a referral from your primary care provider. (Please note – Medicare ONLY covers nutrition counseling for diabetes, chronic kidney disease and kidney transplants. If you do not have any of these three conditions, Medicare will not cover your nutrition counseling appointment).
Please fax any primary care physician referrals to us by fax: 800-884-5821.
7. Does my plan have a limit to the number of visits covered per calendar year?
Some plans will pay for appointments to be covered but only up to 4-6 visits per year. Check with your plan for specific details.
8. Will I have to pay co-insurance, a co-pay, or a deductible first before my nutrition counseling session is covered?
In some cases, nutrition counseling is only covered after a patient has met their deductible. Check with your particular plan for details.