Insurance

In Network

The providers in our office are in network with BCBS and Aetna.

To determine your nutrition coverage with BCBS or Aetna please click on the hyperlinks to learn more about checking on your coverage and benefits.

Questions to Consider when checking your benefits for In-Network coverage:

    • https://www.aetna.com

    • Find the member services number on the back of your insurance card. Use this number to call member services to ask the following questions:

    • Does my plan cover nutrition counseling using the following CPT codes: 97802 and 97803.

    • Does my plan cover visits that are only medically necessary OR do they cover visits that are preventative and use a diagnosis code of Z71.3?

    • When do my benefits begin and what date do they end?

    • Are there restrictions to the number of nutrition counseling visits in a calendar year? If there is a limit to the number of visits per year, check to see how many visits you have left for the “year” of your current benefit period.

    • Do I have to meet a deductible first to receive coverage for nutrition counseling? If so, how much of my deductible have I met at this time, and when does this year begin and end?

    • Will my plan cover telehealth visits?

    • Do I need a physician’s referral to receive coverage?

    • Is Holder Nutrition in Network? If your appointment is with Katie, check NPI #1851774509. If your appointment is with Lora, check NPI #1952022303.

    • https://www.bcbs.com/individuals-families

    • Find the member services number on the back of your insurance card. Use this number to call member services to ask the following questions:

    • Does my plan cover nutrition counseling using the following CPT codes: 97802 and 97803.

    • Does my plan cover visits that are only medically necessary OR do they cover visits that are preventative and use a diagnosis code of Z71.3?

    • When do my benefits begin and what date do they end?

    • Are there restrictions to the number of nutrition counseling visits in a calendar year? If there is a limit to the number of visits per year, check to see how many visits you have left for the “year” of your current benefit period.

    • Is Holder Nutrition in Network? Our NPI is 1316532922.

    • Do I have to meet a deductible first to receive coverage for nutrition counseling? If so, how much of my deductible have I met at this time, and when does this year begin and end?

    • Will my plan cover telehealth visits?

    • Do I need a physician’s referral to receive coverage?

Out of Network

We are considered an out of network provider with all other insurance companies currently. Some insurance companies will reimburse a portion of the fee that you pay for nutrition therapy services. You are responsible for paying the full session fee at the time of the appointment; however, on request, we are able to provide an itemized superbill (receipt) for you to submit to your insurance company. Potential reimbursement is determined by your individual plan with your insurance provider.