Is your insurance is covered?
Most insurance plans will cover nutrition counseling and medical nutrition therapy. Often times, our services are covered at 100%–HOORAY! Here at Anderson’s Nutrition, we do accept insurance. We will bill your insurance for you, however you are responsible to know and understand your benefits. See the questions below that you can use when contacting your insurance.
How Does Insurance Work?
Locate the member services/customer service number on the back of your card.
Call your insurance company to check for benefits. Here are questions to ask:
1.Does my policy cover nutrition counseling and/or medical nutrition therapy?
See if these CPT codes are billable:
- 97802 & 97803
- S9470 (most common for BCBS)
2. What conditions and/or diseases are covered? (ICD-10 Codes)
- Z71.3 Healthy Eating
- E11 Diabetes 2
- E66.9 Obesity
E78.5- Hyperlipidemia/High Cholesterol
I10- Hypertension (high blood pressure)
K90.0- Celiac Disease
Z91.01- Food Allergy
R73.09- Abnormal Blood Glucose (Pre-diabetes)
- Find more diagnosis codes to use HERE.
3. What is my cost?
A. Do I have a deductible?
B. Do I have a co-pay?
C. Do I have a coinsurance?
*Often times with preventive counseling, there is no out-of-pocket cost.
4. How many visits do I get?
Tip: When does my plan renew? January or which month?
5. Is my provider in-network or out-network? Do I have out-of-network benefits? Yes, what percentage if covered?
Here is a list of our providers and their NPI numbers to check if they are in-network with your plan.
Andersons Nutrition AZ – NPI # 1508180829
Andersons Nutrition PA- NPI#1396221347
Nicole Anderson Goodrich- NPI # 1194966879
Christine Babey- NPI # 1720380348
Jacqueline (Jamie) MacGibbon- NPI# 1578870424
Michelle Hines NPI # 1609938711
Taylor Aasand NPI # 1164900478
Heather Gauthier NPI #1528315900
Tax ID# 26-4506413
Out of Network– No problem! We are happy to bill your insurance even if you only have out-of-network benefits. The cost of the appointment will be collected from you at the time of visit and you will be issued a refund once we receive payment from the insurance company. Often times, you will receive a full refund. *Please note that some insurance companies will reimburse you directly.
In-Network– We will bill your insurance directly and will bill you for any deductible, co-pay, or co-insurance that your insurance does not cover.
6. Do I need a referral?
Many plans do not require a referral. However, if you do need a referral, be sure to call your primary care physician to get a referral faxed to us at 480-505-3077. Be sure to follow up with us to ensure that we received it.
7. Where can services be rendered?
Can you be in office, your home, or through Tele-health (over the phone).
Let’s get you scheduled! You will be e-mailed the forms prior to your appointment so please remember to add in your benefits summary that you checked on in Step 1. For example: how many visits are covered, to which CPT and ICD-10 Code. We can always assist you on contacting the insurance company if you have any questions.
Questions or having issues? Call us!
AZ Scheduling– Schedule Online or Call 602-770-7611
PA Scheduling– Schedule Online or Call 484-872-2909
*Medicare or Medicaid
We do not participate in either program. If you are insured through either of them, you may have the option to bill your policy directly. You will follow Step #2 (above). Then we will send you a “super bill” and an instruction handout to help guide you along the way. Medicare or Medicaid will reimburse you directly. Payment will be collected at your visit.