OC Nutrition Coaching Accepts:
Anthem, Blue Cross Blue Shield and United Healthcare insurance, however this is not a guarantee of coverage as different plans have different coverage. Please note that in working with us, there will be out-of-pocket expenses, even if your insurance is accepted.
Before booking with us, please call your insurance company
You are responsible for checking coverage. If insurance declines to cover your visit(s) for any reason, you are responsible for payment of services.
To check your eligibility for nutrition counseling, call the number on the back of your insurance card and ask to speak with a representative. Be sure to ask these 8 questions:
Is nutrition counseling covered? (the procedure codes are 97802 and 97803)
Are there any restricted diagnoses? (ask specifically about the diagnosis code Z71.3 and if its covered as preventive)
Do I need a referral or prior authorization?
Is nutrition counseling covered when provided via telehealth?
How many visits am I covered for each year?
Do I have a deductible to meet before insurance pays?
Will I have a copay or coinsurance?
Is OC Nutrition Coaching (Individual NPI: 1184015174, Group NPI: 1659977429) covered under my plan? If not, what are my out-of network nutrition benefits?
**Write down the date and reference number for your call**
If you take my insurance, does your program entail any additional out-of-pocket expenses?
YES. If we decide to work together, there will be out-of-pocket expenses, even if your insurance is accepted. Our nutrition coaching packages include premium access to your dietitian and additional services not covered by insurance, which may include: specialty lab testing, personalized meal plans, body composition testing, email support in-between sessions, etc.
If you are unable to pay for our premium services that insurance doesn't cover, our program may not be right for you.
What if you are out-of-network with my insurance?
If we are out-of-network with your insurance, sessions may still be covered. Upon request, we can either send a claim to your insurance on your behalf or provide you with a superbill to submit yourself for possible reimbursement. Payment is due from you at the time of service.