Will Insurance Pay for My Appointment

Not all insurance companies will cover the cost of visits with a dietitian. Follow the steps below to check if your session will be covered and what your copay amount will be:

1. Call telephone number provided on the back of your insurance card
2. Provide insurance company with CPT (billing code) and Tax ID number
   1. CPT - 97802 (new patient) or 97803 (return patient)
   2. Tax ID number - 954373071

HMO

• Referring physician’s office will need to request authorization for HMO patients
• Authorization needs to be approved before the day of the session

Medicare 

• Visits with a GI dietitian will NOT be covered
• Only covers for diagnoses of obesity, diabetes and kidney disease as the primary diagnosis, even if you have Part B or secondary insurance
• Self-pay options are available (see below)
• Patient must sign an Advance Beneficiary Notice (ABN) of non-coverage before the session
• If the patient elects to have insurance billed and it is not covered, patient will be 100% responsible for the cost determined by the insurance company 

Self-Pay

• Self-pay (fee for service) rate: New Patient: $200, Return Patient: $100
• Patient must sign a self-pay form of non-coverage before the session

If the patient elects to have insurance billed and it is not covered, patient will be 100% responsible for the cost determined by the insurance company.