Your Guide to Insurance and Medical Nutrition Counseling/Therapy (MNT) Coverage.
Will my visit with a Registered Dietitian Nutritionist be covered?
Health insurance coverage will vary based on your specific plan. Here are the plans that we are participating providers;
Here is an overview of the insurance companies we work with. Rebecca Bitzer & Associates participates with the following companies:
- Blue Cross Blue Shield
- Johns Hopkins EHP
Please contact us at 301-474-2499 if you would like more information. This information changes periodically so we are happy to help you any way that we can. You can also contact your insurance company for more information regarding your specific plan.
Although we are more than happy to answer questions, you may find it helpful to call your specific company directly. Please note on the chart below, some plans require a referral.
Below are some questions you might ask your insurer to learn more about your coverage for medical nutrition therapy (nutrition services).
- Does my health plan cover for the CPT (current procedural terminology) codes 97802 and 97803? These are the codes for the initial and follow-up appointments with a Registered Dietitian Nutritionist.
- What is the coverage for a specialist’s office? Rebecca Bitzer and Associates (RBA) is considered a “specialist office”; this may differ from a hospital or primary care setting.
- Do I need a referral? (If yes, please bring your referral with you!)
- For which diagnoses will be covered for nutrition counseling? Some companies will only cover for certain diagnoses. The most common covered diagnoses include diabetes, high cholesterol, high blood pressure, and kidney disease. Please contact RBA if your company is asking about specific diagnosis codes. We can provide these for you.
- How many sessions or units will be covered?
- What are my out-of-network benefits for nutrition counseling? If you have out-of-network benefits, RBA will be more than happy to provide you with detailed receipts to submit to insurance.
- Do I have a deductible? How much is it and how much have I paid already?
It is recommended to obtain a reference number for your call.
Out of Network Benefits
If your insurance provider is not among those listed, you may still be eligible for reimbursement if you have out-of-network benefits through your health insurance plan.
This means you will be responsible for payment at the time of service via cash or credit card. Once your balance is paid you will be provided with a superbill to submit to your insurance provider to request reimbursement. If accepted, your insurance provider will reimburse you directly. Note that a superbill does not guarantee reimbursement.
As of March 15, 2020, telehealth appointments are almost universally covered by health insurance plans. We are completely set up to provide you with telehealth appointments from the convenience of your home or office!