aetna insurance in network dietitian
united healthcare insurance in network dietitian
blue cross blue shield in network dietitian
cigna insurance in network dietitian
medicare in network dietitian
highmark insurance in network dietitian

We are in-network with most major insurance companies. Not all companies that we accept are listed above.

How Does Insurance Work?

You can use insurance for one-on-one session visits. We will bill your insurance company directly.

It is important to understand your insurance benefits, because they are specific to your plan and your diagnosis. The policy holder should call the insurance company directly to get a clear picture of coverage. If you have additional questions, our billing department can assist you with understanding your benefits.

ATTN: Medicare Members

We do participate with Medicare. Please note at this time Medicare only covers visits for Diabetes and Chronic Renal Failure. This is the same for your supplemental insurance. If you do not have either disease, you will be provided with a medicare self-pay discounted rate. 

You are also required to have your primary care provider (not a specialist) fax in a referral form (fax: 833-755-0838).

Not all of our providers participate in these programs. Our admin staff can assist you during scheduling to ensure the provider you see is currently in-network with Medicare.

Here are questions to ask your insurance company

Is my provider in-network or out-of-network?

We are in-network for many plans as a group and/or individual. Ask your insurance whether we are in-network for your specific plan.

Our group NPI is 1508180829 – Anderson’s Nutrition

Our tax ID# is 26-4506413

If your provider is out-of-network, no problem! We are happy to bill your insurance even if you only have out-of-network benefits. The cost of the appointment will be collected from you at the time of the visit and you will be issued a refund once we receive payment from the insurance company. Oftentimes, you will receive a full refund.  

*Please note that some insurance companies will reimburse you directly.

Does my policy cover nutrition counseling and/or medical nutrition therapy?

Find out what procedure codes your policy covers, and also what conditions your policy covers. Some policies will cover preventative care at 100%, while others may cover under Medical Nutrition Therapy (MNT). These differ by company.

Below is a list of procedure codes that we can bill. (These codes are called CPT codes.)

97802 (initial) and 97803 (follow up)

S9470 (typically Blue Cross Blue Shield)

99404 (typically Cigna, in-person only)

Remember to ask if these codes apply for in-person visits and/or telehealth visits.

Below is a list of conditions and/or diseases to reference for potential coverage (ICD-10 Codes)

  • Z71.3- Healthy Eating
  • E11- Diabetes 2
  • R73.09- Abnormal Blood Glucose (Pre-diabetes)
  • E66.9- Obesity (BMI >30)
  • E78.5- Hyperlipidemia / High Cholesterol
  • K58.0 / K58.9- IBS
  • E28.2- PCOS
  • K21.0 / K21.9- GERD
  • I10- Hypertension (high blood pressure)
  • K90.0- Celiac Disease
  • Z91.01- Food Allergy
  • Find more diagnosis codes to use HERE.

What is my cost?

Often there is no out-of-pocket cost; however, it is important to know and understand the details of what your policy covers.

Questions to ask your insurance company:

Do I have a copay, deductible, or coinsurance (shared cost)?

If YES, then ask if it is for preventative care or Medical Nutrition Therapy? If preventative, what can I be seen for?

How many visits do I have?

Preventative VS Medical

There is a difference between preventive and medically necessary. You should ask what coverage looks like for both. Some policies will cover a certain number of visits for preventative, while covering more for medical.

In addition, we recommend confirming when your plan renews to understand the time period for your visits. While many plans last from January to December, some plans start in July and end in June, or even August to December. Make sure you know when your plan renews better plan for appointments.

Do I need a referral?

Most plans do not require a referral, but is is important to ask just in case. However, if you do need a referral, contact your primary care physician to get a referral faxed to us at (833) 755-0838. Feel free to follow up with us to ensure that we received it, especially if your plan requires it.

Medicare ALWAYS requires a referral from your primary care doctor.

Do I need a reference number for the call?

Please ask the insurance representative for a reference number for the call and note it somewhere safe. This is helpful for us to be able to cross-reference the information we receive when making our courtesy benefits check. You can include it in your intake paperwork once you receive it.

I have a question, but it’s not listed here!

No worries! If you have a considerable amount of trouble, or have any other questions, feel free to give us a call at 602-770-7611 or send us an email and one of our admin staff will do their best to help you.

Ready to schedule using insurance?

We can’t wait to help you start your nutrition journey! You will receive an e-mail with the intake forms prior to your appointment, so please remember to add in your benefits summary that you checked on. Please include all the information provided to you from the insurance representative. Don’t forget the reference number! We can always assist you in contacting the insurance company if you have any questions.