Insurance Coverage
Personal Choice/Keystone Health Plan East/Independence Administrators
6 visits without a copay.
Highmark/Blue Cross Blue Shield/Anthem
Plans vary. Please call your insurance company to determine coverage, ask diagnosis codes for coverage. Typically if your body mass index (BMI) is 25-29.9 and you have a chronic condition such as high blood pressure or high cholesterol it is covered 100%. If you BMI is 30 or higher it is often covered 100%. Please have your healthcare provider fax or email these conditions with a diagnosis code to our office. Often 5 hours a year is given without a copay if you meet the conditions above.
Aetna
HEALTHY DIET COUNSELING - 10 visits per year for: Diabetes Hyperlipidemia Hypertension High risk pregnancy Preexisting HTN complicating pregnancy Multiple gestation Obesity complicating pregnancy OBESITY PREVENTION (AGE 22+) - 26 visits a year combined with visit limit for Healthy Diet Counseling Obesity (BMI 30+) OBESITY PREVENTION (AGE 0-22) - visit frequency determined by pediatrician MEDICAL COVERAGE: Most other diagnoses ARE still covered but will typically have a cost share unless the patient's out of pocket max has been met for the year. Diagnoses NOT covered include: asthma, ADHD, and chronic fatigue. Please have your healthcare provider fax or email these conditions with a diagnosis code to our office.
Cigna
Subscribers have 3 free/no copay visits per calendar year, plus most plans have unlimited plans for certain conditions.
United Healthcare
Many plans cover uswith 100% coverage ($0 out-of-pocket) if it is classified as preventive care or tied to specific diagnoses such as prediabetes, diabetes, heart disease, cardiovascular conditions, chronic kidney disease (CKD), and obesity. Please have your healthcare provider fax or email these conditions with a diagnosis code to our office.
Medicare/Medicare Supplement Plans
Subscribers who are living with diabetes and kidney disease (and not on dialysis) have covered services. A referral from your primary car provider with diagnosis code is needed prior to your appointment. Please note The Medical Nutrition Therapy Act of 2020, would provide coverage for Medicare beneficiaries to obtain treatment from registered dietitian nutritionists and other qualified nutrition experts for many common and costly chronic diseases. It is currently in Congress, if passed we can see all patients with Medicare! Please call and email your senator!
Medicaid (Keystone First, etc)
You need a pre-auth before an appointment.
Discounted programming
Available for non-profit employer-based and community-outreach programs as well as faith-based organizations. Please call us to inquire about pricing.