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?
Having these documents can often help maximize your insurance coverage. You will be able to upload these documents to your account or have them faxed to us at 704-680-6672 once you have been scheduled.
Insurance Coverage Details
BLUE CROSS BLUE SHIELD
BCBS NC: Most plans will cover nutrition counseling 100%, with as many as 30 appointments or no visit limit.
**Please note we are not in-network with Blue Value or Blue Home plans.
BCBS Out of State: With coverage for preventative services, most policies will cover nutrition counseling 100%. The number of visits varies according to the state the plan is from and employer adjustments.
AETNA
Under preventative services, most Aetna plans offer 10 appointments for healthy diet counseling, which is covered 100%. There is additional coverage under preventative services for overweight and obesity with documentation from your PCP.
Self-funded plans, including unions and trusts, can have more limited coverage, and it is best to check your coverage prior to scheduling.
CIGNA
UHC/UMR/Surest
The preventative care policy covers nutrition counseling for adults for the following:
- A BMI greater than or equal to 25 Adult BMI Calculator
Medical documentation is needed to be covered for these additional reasons:
- Impaired Fasting Glucose
- Hyperlipidemia / Dyslipidemia
- Hypertension
- Coronary Atherosclerosis
- Pregnancy- healthy weight and weight gain
- Prediabetes
- Diabetes
Pediatric coverage is limited to children and adolescents 6 years or older with a medical diagnosis of obesity. Documentation from a PCP with that code is required prior to the appointment for the child to be covered by insurance.
Try the Pediatric BMI Calculator
Other conditions may be covered under the medical side of the policy and subject to deductible/copay/coinsurance.
MEDCOST
MEDICARE
https://www.medicare.gov/coverage/medical-nutrition-therapy-services
Medicare Part B
Medicare ONLY covers medical therapy for diabetes and chronic kidney disease. A referral from your provider prior to your appointment is required for us to bill any Medicare plan. Coverage is 3 hours in the first calendar year you receive nutrition therapy by any dietitian and 2 hours every year after that.
Medicare Supplemental Plan
These plans don’t provide any extra coverage for nutrition therapy. If Medicare Part B won’t cover it, a Medicare Supplement Plan won’t either.
Medicare Advantage Plan
We are only in network with BCBS and Aetna Medicare Advantage Plans. These plans most often only offer the same coverage and requirements as Medicare Part B.
MEDICAID
NC: We are providers with WellCare, Healthy Blue, Carolina Complete, and Medicaid Direct (Original Medicaid). A referral is required prior to the appointment to bill services to Medicaid for pediatric clients.
Adult coverage is limited to pregnant and postpartum women.
SC: Coming soon
Self-Pay Option
Around 95% 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.