How Much Does it Cost to Work With You?
Did you know that many health insurance companies cover nutritional counseling? The information below will walk you through the steps to take to see if your insurance will cover the cost of nutrition counseling for your visit. If you don't plan to pay with your insurance, you can find our private pay rates here.
Insurance: In-Network
We are currently in-network with:
If we are in-network with your health insurance carrier, we will work with the insurance company to ensure coverage. Occasionally, insurance companies will deny payment — if this is the case, we will not charge you for past visits but will require that you move to private-pay if you wish to continue working with us.
The vast majority of our clients pay $0 out of pocket. However in rare cases, there are costs associated with using insurance (co-pays, coinsurance, deductibles). In these cases, you will be responsible for those fees.
Regardless of coverage, we require a credit card to be kept on file to enforce our no-show policy. However, you will never be charged without advanced notice.
If you are out-of-network, we can offer you a superbill that you can submit to your insurance in hopes of getting reimbursed. It is your responsibility to inquire with your insurance company regarding benefits and submit superbills (we can provide you with instructions when you schedule). The session fee must be paid to iLiveWell Nutrition Therapy, LLC at the time of service.
Instructions for Out-of-Network Benefits:
- Call the phone number for customer service, which is usually located on the back of your insurance card. If your employer provides your plan, your HR department may be able to call on your behalf.
- You’ll want to speak to the benefits department. Ask if Medical Nutrition Therapy (MNT) is a covered out-of-network benefit based for your plan. The procedure codes we use for MNT are: 97802 (initial assessment), 97803 (follow up), 97804 (group) and occasionally S9470 (nutrition counseling code). As them if coverage is dependent on your diagnosis. You may want ask if there are any benefits for “preventative Z codes.” If so, ask which Z codes and what the requirements are.
- If there is an MNT benefit, ask if there are any restrictions. For example, a limit of visits, having to use a certain practitioner, etc. Ask if your benefits are subject to your deductible, coinsurance, out-of-pocket max, etc. If your insurance company says that MNT is a benefit, be sure to document the date, every detail of information from the call, a reference number and who you spoke with. Ask them to send you the information in writing. Make sure that our practice will be covered.
- You may be able to have the MNT benefits applied to the “in-network” benefit side of your insurance plan if they do not have a registered dietitian in their network or if you have an eating disorder and they do not have a registered dietitian who is a Certified Eating Disorder Dietitian (CEDRD). When insurance companies agree to cover an out-of-network practitioner under the “in-network” benefits, this is often called Gap Coverage. You may also be able to request a single case agreement for MNT, depending upon your plan and diagnosis. Should you obtain a single case agreement or GAP Coverage, we will require written documentation and information on co-pay, deductibles and how the insurance company would like to be billed for services.
Private Pay
Initial Assessment: $180
Follow-Up: $145
Note: Rates increase for family work and for longer sessions.
You can pay with cash, check or card. A card is required to be on file.
We don’t offer a traditional “sliding scale” but we do keep a couple of spots available for those who need help financially. Contact us to receive information.