Insurance | Happy Health Nutrition

Making nutrition counseling & health accessible

Did you know that most insurance companies cover nutrition counseling?

Most of us have insurance coverage for nutrition counseling at zero to little out-of-pocket cost per session. We work with the following:

Medicare

Blue Cross Blue Shield

United Healthcare

Medicare

Coverage Details:

Nutrition Counseling is covered at no cost to you under Medicare Part B.

Requires a doctor’s referral. (Grab the referral form here).

Covers 3 hours the first calendar year and 2 hours for additional years.

Additional sessions can be covered when deemed medically necessary and require an additional referral per calendar year.

Medicare does not cover: Meal planning, emailing, courses, and reviewing food logs.

Referral Form

Medicare Advantage/Supplement Plans

Coverage Details:

Nutrition Counseling is covered at a similar level to Medicare

The dietitian has to be in-network with both Medicare and the commercial plan that manages the insurance.

We participate with Blue Cross Blue Shield and United Healthcare

Sometimes co-pays and co-insurance does apply.

Medicare Supplements only: Medicare Part B is billed and the supplement is not.

Requires a doctor’s referral. (Grab the referral form here).

Medicare Advantage does not cover: Meal planning, emailing, courses, and reviewing food logs.

Referral Form

Commercial Insurance

Nutrition Counseling is typically covered at no cost to you or a co-pay.

We try to bill with preventative coverage (zero cost to you) as often as possible.

Doctor’s referrals are typically not required.

Number of sessions that are covered varies by insurance plan.

Commercial Insurance does not cover: Meal planning, emailing, courses, and reviewing food logs.

*Not every plan is the same. These are typical results and it is your responsibility to verify your nutrition benefits.

Out of Network Coverage

Nutrition counseling coverage is highly variable by insurance plan.

We still see clients with insurance plans we do not participate. We charge our cash rate and provide a superbill for you to submit to your insurance for reimbursement.

We are also able to take FSA cards as well.

Commercial Insurance does not cover: Meal planning, emailing, courses, and reviewing food logs.

*Not every plan is the same. These are typical results and it is your responsibility to verify your nutrition benefits.

Medicare clients do not need to verify their benefits as these benefits are standard for all Medicare beneficiaries.

Commercial: Each insurance plan works slightly different. We try our best to bill your insurance company under “preventative” benefits that typically do not require co-pays or deductibles. This is not always possible. The number of visits your plan allows also may vary. We review insurance cards prior to our first visit.

It is always best to call your insurance company to confirm your benefits. When verifying benefits.

Call the number on the back of your insurance card. Tell the representative that you would like to know your nutrition counseling benefits.

Make sure also to ask:

Do I have a co-pay or co-insurance do at time of service?
Is there a limit on the number of visits?
Is telehealth covered?
Is my dietitian in network?

The representative will ask you for the following information.

Diagnosis code: Z71.3
Procedure codes: 97802 and 97803
NPI number of provider: 1144996398

If Happy Health Nutrition is considered “out of network” or we do not participate with your insurance, we can still work together. You will be charged at the time of service and we will provide you with a superbill (an receipt for your insurance) that you can submit to your insurance company for reimbursement of our services.

Each insurance company’s policy and way for submitting superbills is different. Call your insurance company to find out how to submit.