We Accept Health Insurance
Around 95% of Clients are Fully Covered
Will My Insurance Cover Your Services?
Approximately 95% of Nutrition HealthWorks clients are fully covered by insurance for their nutrition services. Nutrition HealthWorks bills insurance for nutritional counseling under preventive care. Preventive care is intended to help you stay as healthy as possible and includes routine screenings, checkups, and patient counseling to prevent illnesses, disease, or other health problems. Preventive services are often covered with no copay, coinsurance, or deductible.
We are providers with the insurance companies listed below. Coverage can vary by plan, so if you’d like us to verify benefits prior to scheduling, please use the Contact Us form. Every client receives a document reviewing their coverage before their appointment.
We also provide a superbill for any client not covered by the plans below, allowing you to submit it to your insurance for possible reimbursement.
Do I Need a Referral?
- Medicare or Medicaid: Referral required (see descriptions in the insurance sections below).
- Most other plans: Referral generally not required.
- We may request supporting documentation such as a diagnosis code, chart note, or lab results from the past year to maximize coverage.
- Documents can be uploaded to your account or faxed to us once you are scheduled.
Insurance Coverage Details
Blue Cross Blue Shield
- BCBS NC: Most plans cover nutrition counseling 100%, with as many as 30 appointments or no visit limit. Not in-network with Blue Value or Blue Home plans.
- BCBS Out of State: Coverage varies by state and employer; preventive services typically cover nutrition counseling 100%.
Aetna
- Preventive services typically cover 10 appointments for healthy diet counseling 100%.
- Additional coverage available for overweight/obesity with documentation from your PCP.
- Self-funded plans, unions, and trusts may have more limited coverage; verify benefits before scheduling.
Cigna
- Preventive services cover 3 visits 100%.
- Additional coverage may be available; your RD will help determine this.
UHC / UMR / Surest
- Preventive care covers adults with:
- BMI ≥ 25
- Impaired fasting glucose
- Hyperlipidemia / Dyslipidemia
- Hypertension
- Coronary atherosclerosis
- Pregnancy – healthy weight and weight gain
- Pre-diabetes / Diabetes
- Pediatric coverage: children/adolescents ≥ 6 years old with high BMI ≥ 95th percentile.
- Other conditions may be covered under the medical side of the policy, subject to deductible/copay/coinsurance.
MedCost
Medicare
- Part B: Covers medical nutrition therapy for diabetes or chronic kidney disease (CKD stages 3–5) or post-kidney transplant (within 36 months). Referral required.
- Coverage: 3 hours first year, 2 hours subsequent years.
- Supplemental Plans: Do not provide additional coverage beyond Part B.
- Advantage Plans: Only in-network with BCBS and Aetna; same coverage as Part B.
Medicaid
- NC: Providers with WellCare, Healthy Blue, Carolina Complete, Medicaid Direct (Original Medicaid). Referral required for pediatric clients; adult coverage limited to pregnant and postpartum women.
- SC: Coming soon.
Self-Pay Option
93% of Nutrition HealthWorks clients have insurance coverage for their nutrition services. If your plan does not cover services or you’ve exceeded your visit limit, we offer a self-pay option. Payments can be made via check, credit/debit card, Health Savings Accounts (HSA), or Flexible Spending Accounts (FSA). A credit/debit card on file and full payment is required to secure your appointment.