Rates & Health Insurance
Most health insurance plans cover nutrition visits with us, usually at NO COST to you!
Preventative medical care such as medical nutrition therapy is defined as a “nutrition-based treatment provided by a Registered Dietitian Nutritionist.”
Many insurance plans pay for nutrition counseling, but it is often an unused benefit.
We welcome new patients and accept all major health Insurance plans
PAYMENT:
A valid credit/debit card on file is required and will be charged for self-pay fees, amounts insurance tells us are your responsibility after claims processing, and in case of late cancel or no show. You may also keep a HSA/FSA card on file for eligible transactions. Any refunds issued will be less the card processing fees we have incurred. If your insurance does not cover your visit(s) for any reason, you are responsible for the full amount billed.
Medicare only covers for the diagnosis of Diabetes or Kidney Disease and up to 3
visits the initial year (and 2 visits the subsequent year). Medicare requires a doctors
referral be submitted.
Medical Nutrition Therapy (MNT) is covered by Part B, if you only have Part A coverage, MNT services will not be covered and you will likely have to pay for all costs out-of-pocket.
If you have a Medicare Advantage plan, these services are also no cost. Copays, coinsurance, or other out-of-pocket costs do not apply
Medicare requires a doctors referral be submitted with the claim filed for Diabetes or Kidney disease. click here to download the Referral Form and give this form to your Medical Doctor to complete and fax to: 470-239-1564.
Insurance Benefit Verification
- Does my plan cover nutrition counseling, procedure codes 97802 and 97803?
- Is nutrition counseling covered as a preventive benefit?
If so, are there certain criteria that must be met to qualify (e.g. “obesity” or cardiovascular risk factors)?
Are preventive services covered in full/ 100% by insurance? - Is nutrition counseling covered as a medical benefit?
If so, are there any excluded diagnoses? - Do I have a deductible to meet before insurance will pay?
- Will I have a copay/ coinsurance?
- Do I need a referral ?
Note that regardless of what a rep tells you, we require a referral for all Aetna, Medicare, and Medicare Advantage plans.Download the Referral Form Here - How many visits are allowed?
- Is the provider I’m seeing at YourFide Dietitian in-network? Our NPI numbers are listed below if they ask.
Mercy Aremu -1093199622 - Write down the date and reference number for your call.
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If YourFide Dietitian, files a claim through your insurance and it is denied, you are ultimately responsible for payment. An invoice will be provided and you can submit to your insurance for possible reimbursement.
If You Are Contracted With Another Insurance Agency.
If you are not contracted with the above Pictured insurance agencies, and you will like to inquire about out of network reimbursement, call the number on the back of your card and ask the following questions to verify reimbursement process:
Optional Script: Hello, I am interested in seeing an out-of-network registered dietitian. After my appointment with my Registered Dietitian Nutritionist, where do I send the Superbill for reimbursement, and when can I expect to be reimbursed for the fees I paid to the dietitian?
IMPORTANT NOTE:
If you are planning on receiving out-of-network reimbursement for medical nutrition therapy, you are responsible for payment at the time of your service. As the out-of-network provider (registered dietitian nutritionist), I will provide you with a Superbill (a detailed receipt, provided by my office), which you will submit to your insurance company for reimbursement.
HSA/FSA CARDS AND ACCOUNTS
If your insurance plan does not cover nutrition counseling but you do have a Health Savings Account or Flexible Spending Account (HSA/FSA) card, you can use that to pay for your sessions.
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August 23, 2022
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