Insurance

Call the member services number on the back of your insurance card and ask:



1. Does my plan cover nutrition counseling (Procedure codes: 97802, 97803, 97804)?
   a. Are there nutrition benefits under the preventative care portion of my plan?
2. Are visits limited to specific diagnosis codes?
   a. Are there any restricted diagnosis codes?
3. Is there a limit to the number of visits (or units) per day/year?
   a. Is my plan January to January or does it start a different month?
4. Do I have a deductible to meet before insurance pays?
   a. If so, how much is the deductible?
   b. How much of the deductible has been met to date?
5. Do I have a specialist copay or coinsurance for nutrition counseling?
6. Is a doctor’s referral required? (in most cases only a referral is needed for Medicare)
7. If interested in telehealth (virtual) visits, ask your insurance if your benefits for telehealth are the same/different than in-office visits.
8. If your health insurance plan is not listed above, you can ask if Nicole Lawson, RD (NPI 1699351056) is a covered provider under my plan? If not a covered provider, what are my out-of-network nutrition counseling benefits?
9. Record the representative’s name you speak with and a call reference # when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim.

For information on how to obtain insurance coverage for you and/or your family, please visit www.healthcare.gov.