In some states, insurance coverage for nutrition-related services provided by a qualified licensed nutritionist is expanding.
Here are the insurance I currently take:
- BCBS of MA, Indemnity Product, Preferred Provider Arrangement Product and HMO Blue. Only face-to-face sessions are currently covered.
For HMO BCBS coverage, you will need a referral from your primary care physician. The PPO does not require a referral.
- Cigna, All commercial products. OAP/PPO plans do not require a referral, while HMO/IFP/EPO plans do.
- United Health Care (UHC).
Credentialing is underway for Medicare, MA Health and other insurance – I may be covered as an Out-of-Network provider. You can receive something called a superbill for our work together, which can aid with your reimbursement of approved care.
If you need to get a referral from your primary care doctor, here is a referral form (ABK Nutrition Referral Form 7-2019) that may be helpful.
If you have a nutrition-related medical condition (see the list below – that’s just a starter list!), call the number on the back of your insurance card to inquire about your coverage. If you do have coverage, you may be able to private-pay for services and receive reimbursement in accord with your insurance. Be sure to ask your insurer for all details of what you’ll need to get reimbursement.
We can provide you what is called a super-bill, which aids in the processing of your reimbursement for approved nutrition services.
Here is a partial list of nutrition-related conditions often covered by insurance in Massachusetts.
- Eating Disorders
- Metabolic Syndrome
- High Blood Pressure
- High Cholesterol
- Irritable Bowel
- Crohn’s Disease
- Ulcerative Colitis
- Gastroesophageal Reflux Disease
- Food Allergies
- Kidney Disease
- Lyme’s Disease Fatigue
If you have one of the above conditions, specialized nutrition and lifestyle coaching can be helpful and may be covered by insurance.