It is possible your insurance will cover some or all of your nutrition visits! It is your responsibility to find out what they will cover, and it is your responsibility to pay if your insurance does not.
If you have questions, we are here to help! We have provided resources below to guide you through a conversation with your insurer. If you need more assistance, please reach out!
Instructions for Checking Insurance Benefits
In an effort to streamline the process of billing insurance for our services, we are asking you to call your own insurance
carrier to inquire about the details of your benefits.
We are in network with Aetna, Ambetter, BCBS, Cigna, Kansas Medicaid (only up to age 22), Medicare ** and United. For any other insurer, you might ask about Out-of-Network benefits.
** Medicare will only cover diabetes and kidney disease and requires a referral from a doctor.
You will want to have the following info handy when you make the call:
- Client Name (person to be seen by Free State Nutrition)
- Date of Birth (say the age if you are calling about a minor)
- Member ID (from your insurance card)
- Provider Name: Free State Nutrition
- Provider Tax ID: 822192214
- Provider NPI: 1831699826
- CPT Codes: 97802, 97803 (if Cigna, also ask about 99404)
- Diagnosis Codes (from your provider, for example hypertension, IBS, diabetes, obesity – if none, ask about code Z71.3)
*Unfortunately, insurance never guarantees benefits over the phone. If a claim is denied, we will attempt to get the claim
reprocessed. However, if the information that was provided to you was incorrect, then you will be responsible for the balance for
the service.
What to Ask Your Insurer
1. Do I have nutritional counseling benefits with the following CPT and Diagnosis codes:
If Out of Network, at what rate will I be reimbursed for services?
2. What is my responsibility (deductible, copay, coinsurance):
If deductible applies, how much has been met?
3. Do I have any nutritional counseling benefits covered under the preventative care portion of my plan:
4. Is there a visit limit (for example, 7 hours per year) or a unit per visit limit (for example, 4 units per visit)
5. Is telehealth covered? If so, is my responsibility the same:
Is there an expiration date for telehealth:
6. Do I need a referral?
7. Is a prior-authorization required? If so, what is the process?
8. Can I have your name and a reference number?
Document the date/time of the call for future reference.
