RATES AND HEALTH INSURANCE

I am in network with Aetna, Anthem, BlueCross BlueShield, Humana, Medical Mutual, Ohio Medicare, and United Healthcare. I always recommend checking with your insurance carrier regarding nutrition counseling coverage.

 

Here is a general summary of what each insurance carrier typically covers for nutrition:

Aetna

• Requires a physician’s order

• May cover 26 nutrition visits per year for Diabetes, hypertension, overweight, obesity, and hyperlipidemia.

• Additional diagnoses can be covered under preventative care

Cigna

• Covers up to 3 visits per year for Adults and children age 6 and older for obesity, BMI 30 or greater.

• Cardiovascular risk factors, family history of diabetes, and personal history of gestational diabetes

• Gestational Diabetes

Medical Mutual

• May cover 9 preventative care nutrition visits yearly under the Affordable Care Act.

Ohio Medicare Part B

• Covers Diabetes and pre-dialysis Chronic Kidney Disease only.

• A physician referral is always required (must be signed by an MD or DO), and a new one is needed yearly. 

UnitedHealthcare

• Covers overweight, obesity for adults and children age 6 and older, Hypertension, Pre-diabetes in adults age 35-70, Impaired fasting glucose, Diabetes, Metabolic Syndrome, Dyslipidemia, Atherosclerosis, and Pregnancy.​

A typical session is an hour long. You will be asked a series of questions to complete a health assessment. These questions will include medical history, eating, sleeping, stress and exercise habits, medications/supplements, family history, etc. Then we will discuss your goals and discuss food in terms of what to eat and how much to eat. The session will conclude with forming a Plan of Care. The Plan of Care is an action plan listing out your goals and what you agree that you can and need to do to achieve your goals. Each session is different because every person is different.

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Most clients attend nutrition appointments on an on-going basis for motivation and encouragement. In the beginning it is typical for clients to attend appointments on a weekly basis. As time goes on appointments gradually become less frequent (biweekly, monthly) and once goals are met they may only check in a few times per year.