Medical Nutrition Therapy & Prevention Nutrition Counseling
Before your first appointment, contact your insurance provider using the Customer Service number on your card. Use this guide to determine your coverage.
Step 1: Locate Member Services Number
Find the customer service number on the back of your insurance card.
Step 2: Call Your Insurance Company
Ask the following questions:
Provider Network Status
- Is Nutritional Glo (NPI: 1437876430) in-network for my plan?
- If not, what are my out-of-network benefits?
Covered Services
Does my plan cover these outpatient nutrition therapy codes?
- 97802 (assessment)
- 97803 (follow-up)
- 97804 (group)
- S9470 (“nutritional counseling”, most common for BCBS®)
Covered Conditions
Which conditions are covered? Ask about these ICD-10 codes related to your condition:
- Z71.3 (healthy eating)
- R73.09 (pre-diabetes)
- E11.6 (type 2 diabetes)
- E28.2 (PCOS)
- E66.3 (overweight)
- E66.9 (obesity)
- E78.2 (high cholesterol)
- I10 (hypertension)
- K21.0 (GERD)
- K58.9 (IBS, unspecified)
- K90.0 (celiac disease)
- N18.2 (chronic kidney disease)
Your Costs
- Is there a deductible for Nutritional Counseling Services?
- If yes, how much? How much has been met?
- What’s my cost-share?
- Co-payment per visit or co-insurance?
- If co-insurance, what’s the coverage percentage?
- Note: Preventive care often has no out-of-pocket cost.
Visit Limits
- How many sessions are covered annually?
- When does the policy year renew?
Referral Requirements
- Is a physician referral needed?
- If yes, how much? How much has been met?
- If yes, ask your primary care doctor to fax a referral to (888) 216 – 0062.
- Are nutrition counseling visits covered under preventative care? (ICD-10 code Z71.3)
- Is telehealth nutrition counseling covered?
Additional Information
- Are there other restrictions or limitations?
- Note the call reference number.
Network Status
- In-Network: We will bill your insurance directly and bill you for any remaining balance.
- If yes, how much? How much has been met?
- Out-of-Network: Pay upfront; potential refund after insurance processes the claim.
Telehealth
Services are provided via HIPAA-compliant telehealth platform for your convenience.
Next Steps
Schedule your appointment
Complete pre-visit forms, including your benefits summary
For questions about insurance, contact your dietitian or practice at support@nutritionalglo.com
Remember to keep this information for your records. We can assist you in contacting the insurance company if you have any questions.