Insurance & Self Pay Options

Health Care Reform has had a positive impact on many preventative wellness services such as nutrition counseling. As a result, your health insurance may cover the entire cost for your visits with us.

Payment is due at the time of service. Cash, Checks, and Credit Cards are accepted for payment of fee/co-pay.

Accepted Insurance Providers

Insurance Information

Your health insurance may cover the entire cost for your nutrition counseling. We may be able to look into your benefits for you, or you can check with your insurance provider. It is the patient’s responsibility to understand their own health insurance benefits. You will be responsible for any services not paid by your insurance carrier.

  • Rhode Island

    • Diagnosis is required.

    • Referral is not required.

    • Most plans cover unlimited visits.

    • If your subscriber ID starts with a ‘PVC’ a copay and 6 visit limit could apply.

    Out of State

    • Diagnosis is required.

    • Referral is not required.

    • We can take any BCBS PPO from any state.

    • The coverage varies greatly, and we cannot guarantee coverage or if a diagnosis is required. A copay or deductible may apply.

    • It is in your best interest to call your insurance plan and ask for nutrition counseling benefits.

    • If your subscriber ID starts with a ‘BOU’ or ‘MGE’ your plan covers in full with no copay or deductible

    Federal BCBS (FEP)

    • Diagnosis is not required.

    • Referral is not required.

    • Blue Cross Blue Shield’s Federal Employee Program (FEP) covers unlimited nutrition visits.

  • United

    • Diagnosis is required.

    • Referral is not required.

    • Coverage varies per plan. Some plans cover in full, some with a copay or a deductible, while others may be an exclusion on the policy.

    • It is in your best interest to call your insurance plan and ask for your nutrition counseling benefits.

    • The number of visits varies per plan.

    United Ritecare

    • Diagnosis is required.

    • Referral is not required.

    • Covers in full, unlimited visits.

    • Diagnosis is required.

    • Referral is not required.

    • Your specialist copay or a deductible may apply.

    • Aetna will typically cover 26 visits per year.

    • Diagnosis is required.

    • Referral is not required.

    • Your specialist copay or a deductible may apply.

    • 3 visits per year allowed.

    • Diagnosis is required.

    • Referral is not required.

    • Covers in full, unlimited visits.

  • Not accepted

    • Diagnosis is required.

    • Diagnosis must be diabetes or chronic kidney disease (not on dialysis). NO OTHER DIAGNOSIS ARE COVERED FOR MEDICARE.

    • Referral is required.

    • No copays or deductibles.

Flexible Spending Accounts

If you have a Flexible Spending Account (FSA) or Healthcare Savings Account (HSA) we can accept that as payment to cover co-pays, deductibles, and private pay appointments. 

Cancellation / Reschedule Policy

24-hours notice is required for all canceled or rescheduled appointments. Missed appointments without sufficient notice will be subject to a fee.

What to Ask Your Insurance

1. What is covered for nutrition counseling (procedure codes 97802 and 97803)?

2. Is a referral required?

3. Is my diagnosis of ___________ covered?

4. Is there any copay or deductible?

5. How many visits are covered?