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Payment and Insurance

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Appointment:

Time is very important for us. Once your appointment is scheduled for a specific time, RD spends a lot of time reviewing your medical history, labs, medications and other pertinent information. This helps to provide you with better results during the session. Either tardiness or a  no-show causes inconvenience to our schedule. Tardiness will result in a shorter and less effective session. Also, missed individual appointments are charged unless the RD is notified of cancellation at least 24 hours in advance.

Payment/Medical Insurance:

We accept insurance (BCBSNC, Medicare and UHC), VISA, MasterCard and Cash. Payment is expected at the time of your appointment. If you do not participate in our accepted plans or for those without nutrition benefits, you will be given a super bill (coded, paid invoice) to send to your insurance company for possible reimbursement. If there is any difficulty in making payment at the time of the visit, please discuss with Nourishing Expert at the time of the visit. Charges are subject to change.

You, as the client, are responsible for contacting your insurance company to check coverage. Reimbursement rates for nutrition counseling by an RDN, commonly referred to as Medical Nutrition Therapy (MNT), varies among insurance providers and is entirely dependent on your plan and what diagnosis are covered by your insurance company. It is your responsibility to pay for any remaining balance not reimbursed by your Insurance company for your nutrition visit/s.

Please verify your insurance benefits for nutrition counseling (MNT) prior to your first visit. Please call the number on the back of your insurance card and ask them the questions below. This will help you get the most out of your benefits and avoid any unwanted financial burden.

  • Does my plan cover nutrition counseling/Medical Nutrition Therapy? (CPT codes for MNT are 97802 & 97803)?
  • How many visits are allowed under my plan per calendar year?
  • Do I require a doctor’s referral to see a dietitian?
  • Do I have any nutrition counseling benefits covered under the preventative care portion of my plan (examples of preventative care refers to healthy eating, general nutrition, managing overweight, pre-diabetes etc)?
  • Are there any restricted diagnoses? (Is nutrition counseling only covered for diabetes, high cholesterol, obesity, etc)?
  • Do I have a deductible to meet before insurance pays?
  • Do I have a co-pay or co-insurance?
  • Is Lavanya kethamukkala, RDN, LDN with “Nourishing Expert” a covered provider under my plan?
  • If I am not covered for nutrition benefits under my insurance plan, what are my “Out-of- network” nutrition benefits?