Insurances Accepted

Health Insurance

At this time, we do accept the following insurance:

  • Medicare part B (Florida)

    • Nutrition therapy is covered in full with no cost to you, however ONLY with a diagnosis of diabetes, kidney disease (Stage 3a, 3b, 4, 5 (pre-dialysis CKD), or 36 months post kidney transplant. Medicare does not cover pre-diabetes or any other diagnoses.

    • A referral from your Medicare doctor (MD or DO) is always required, and a new referral must be obtained each calendar year. Have your doctor's office fax it to us at (941) 275-1587

    • Medicare initially allows 3 hours the first calendar year you receive nutrition therapy whether it was provided by us, another dietitian or a combination of both. Subsequent calendar years they cover 2 hours. However, additional unlimited visits are covered when there is a change in your condition and your doctor sends us a second referral in the same calendar year.

  • Medicare Advantage Plans

    • These are Medicare plans administered by insurance companies. We bill the insurance company, not Medicare.​

    • Generally, it’s the same coverage and requirements as Medicare Part B (See above)

  • Cigna

    • At least 3 preventive visits are covered in full each year, with many plans covering unlimited. 

    • Additional visits are typically covered for medical conditions like diabetes. If this applies to you, please have your doctor fax the appropriate ICD-10 diagnosis code(s) to us at 941-275-1587 so that we may use it for billing.

  • Aetna/Meritain

    • PPO plans:  No referral required.  Typically cover 10 nutrition visits as a Preventive benefit (meaning no cost to you), and an additional 16 for people who are "overweight" or "obese" (BMI 25+). Aetna also covers nutrition counseling as a Medical benefit for many other conditions, but deductible/copay/coinsurance may apply. For Medical coverage, we often need to receive medical diagnosis codes from your physician.

    • EPO plans: ​ We are considered out-of network

    • Medicare Advantage plans:  Same rules/coverage as Medicare part B (see above)

    • Self-funded plans, including unions and trusts, can have more limited coverage... please be sure to check your benefits in advance for these plans.​

    • Here is a link to Aetna’s Nutrition Counseling medical policy https://shorturl.at/Bxo6T

  • Premera BCBS(WA)/Horizon BCBS

    • We are considered in-network for out-of-state BCBS PPO plans, such as BCBS Federal, Anthem and many more.

    • BCBS plans generally cover nutrition visits in full as preventive, no referral required, however there are countless different plans throughout the country and they are all different. 

    • We always recommend that you cal your insurance to check benefits for nutrition counseling.

    • If your plan only covers certain diagnoses, ensure your doctor sends us documentation of them so that we may use them to bill.

    • EPO plans:  EPO plans may consider us "out of network" and either not cover services at all or apply visits to your deductible. 

  • United HealthCare/UMR/Surest (some plans require certain diagnosis - COMMERCIAL plans only, not UHC Medicare Advantage),

    • UHC has many plans ranging from employer sponsored (commercial) to Medicaid and Medicare. We are only in network with the commercial plan at this time

    • Many plans will offer unlimited visits for preventative care. Here is a link of what they consider preventative (see page 22-24) https://shorturl.at/Cl9lb

  • Florida BCBS/Florida Blue

    • We are not directly in network with Florida Blue Cross Blue Shield so any HMO plans will NOT have coverage. We can bill any PPO plan (marketplace PPO plans as well as employer/commercial plans)

    • We are not able to bill Florida Blue Medicare Advantage

    • Self-funded plans, including unions and trusts, can have more limited coverage... please be sure to check your benefits in advance for these plans.​

      Get a referral from your doctor. If your insurance covers nutrition counseling from out-of-network dietitians, we will give you a Superbill and the codes needed to submit to your insurance. They may reimburse you for some or all of the services. Check with your insurance company for reimbursement details.

**Please note: Florida Blue HMO does not credential dietitians nor do they cover any Medical Nutrition Therapy. If you have a Florida Blue HMO plan, we can only provide you with a superbill and will not bill directly to the insurance due to this. BCBS products originating from outside of the state of FL (look on the back of your card to determine this information) can be submitted with possible reimbursement on a case-by-case basis.**