How to Verify Your Insurance
Insurance coverage can vary widely depending on your specific plan and provider. Enter your insurance details below to see if you’re covered. We’ll verify your benefits within 24–48 hours via phone call. If covered, you’ll receive a booking link. If not, we’ll provide self-pay options. Please note that we currently only offer insurance-covered medical nutrition therapy in MA, CT, and TX.
1. Call the customer service number on the back of your health insurance card.
2. Verify that Hygeia Wellness is in-network with your specific health plan by providing your Dietitian’s NPI number. If you don't know it, contact our us at _____ or hygeiawellness@gmail.com
3. Ask if nutrition is covered as preventive medicine using CPT codes 97803 with diagnostic code Z71.3.
3a. Is there a visit limit?
3b. Is the diagnostic code Z71.3 covered without any other diagnosis or is a secondary medical diagnosis also required?
3c. If there is a limit to the sessions covered, what is your deductible and specialist co-pay?
3d. Is a prior approval required for more sessions if medically necessary?
3e. Is CPT Code 97803 covered with a medical diagnosis code? If so how many sessions are covered?
If you have a medical diagnosis, you may also ask your referring provider to supply the appropriate ICD-10 diagnosis codes related to your condition, which may help support insurance coverage.
3f. Does this go towards my deductible?
3g. Is there a copay?
Cancellation Policy
FAQ
We are currently in-network with Blue Cross Blue Shield/Anthem, Cigna, United Healthcare, Aetna, Harvard Pilgrim, and Medicare.
Coverage depends on your insurance plan and benefits. We accept various insurance providers, and many of our services may be covered under Medical Nutrition Therapy (MNT) or preventive care. We recommend contacting your insurance provider to verify your benefits, or we can assist you in checking coverage before your first appointment.
We continuously strive to expand the range of insurance accepted at Hygeia. If there’s a particular insurance provider you’d like us to consider adding, please feel free to contact our support team at hygeiawellnessco@gmail.com.
Yes, we accept private pay as well as HSA and FSA payments for our services. If we do not accept your insurance or if you don’t have insurance, you can still utilize these payment options for your nutrition counseling sessions.
The number of covered sessions depends on your specific insurance plan. While most of our patients have no limits on visits and can attend as many sessions as they need per year, some plans may impose restrictions. To get detailed information about your coverage, call the member services number on the back of your card and ask about your benefits for Medical Nutrition Therapy.
We require a credit card to be kept on file for all clients, primarily to enforce our late cancellation/no-show policy ($100) or for any copays/coinsurance. You will only be responsible for a no-show fee if you fail to show up to your appointment or attempt to cancel/reschedule it within 24 hours of the appointment start time.
Some patients incur some out-of-pocket costs from their insurance, such as copayments or coinsurance. In those instances, you will be responsible for those fees. However, we will not charge you without advanced notice
We offer self-pay options for all services. For a 60-minute assessment, expect to pay $150. For follow-up consultations, expect to pay a package price depending on what the package is.
3-month package (12 weekly sessions): $150 per session ($1,800).
6-month package:
(discounted price per session, 24 weekly sessions): $120 per session ($2,880).
Most clients do not need a referral to access nutrition or medical services. However, if you're using insurance, some plans may require a referral or diagnosis code. We recommend checking with your insurance provider to confirm.
This depends on state licensing laws. In most cases, medical providers and registered dietitians must be licensed in the state where you reside.
We can currently provide Medical Nutrition Therapy (insurance-covered care) in MA, CT, and TX.
We are licensed to provide nutrition counseling (self-pay) in the following U.S. states except for: AL, AK, DE, GA, IA, KS, LA, ME, MD, MN, MS, MT, NE, NV, RI, SC, Washington DC (registered dietitians that work for Hygeia Wellness can provide care for patients for the rest of Washington state, however).
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