Insurance Information

HOW TO USE INSURANCE FOR YOUR NUTRITION VISIT ⟶

HOW TO USE INSURANCE FOR YOUR NUTRITION VISIT

DSB Nutrition is in-network with Anthem BlueCross and United Healthcare, which often provide comprehensive coverage for visits without deductibles, co-pays, or visit limits at no extra cost to you.

If you choose to use insurance, we will bill your insurance company for claims. In the event that coverage is not met or a co-pay is required, you will receive an invoice for the remaining balance.

While we accept insurance, your specific coverage for nutrition counseling may have limitations or requirements. Before your first appointment, please ask your insurance representative the following questions (see script below) to understand your coverage and any potential fees not covered by insurance.

We strive to provide you with the necessary information to verify your benefits, but it is your responsibility to contact your insurance carrier and confirm your coverage prior to your first appointment, as you will be responsible for any fees not covered by insurance. 

Questions To Ask When Calling Your Insurance Company

Start by calling the 800 number on the back of your insurance card and ask to speak with a representative. If they ask for an NPI, it is 1356954283.

If they say you do not have coverage using the above codes, next ask them to check your coverage for the following CPT codes: S9470, 99401, 99402, 99403 and 99404.

If you are overweight, have obesity, pre-diabetes, diabetes, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well. We will need a direct referral from your doctor with the applicable ICD-10 code for that diagnosis.

A referral is legally required by the State of California for all Registered Dietitians to practice, but insurance may have their own requirements. You can request a referral from your doctor and have it faxed to us at (949) 570-1454. We must have the referral BEFORE your first appointment in order for your visit to be covered. Download our referral form here.

Note: At this time, DSB Nutrition ONLY offers telehealth.

Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits varies from 0 to unlimited depending on medical needs.

A deductible has to be met before insurance companies will pay. If you haven’t met that deductible, you may have to pay out-of-pocket until you meet your deductible. Therefore, a payment of $175.00 is due for the initial visit and $75.00 is due for each follow-up visit.

For most insurance companies we are considered specialists. Therefore, your specialist co-pay is applicable if the claim is not considered preventative. We will submit the claim and will invoice you with any patient responsibility if needed.

This helps to keep the insurance company accountable for any information they provide you with on your call, especially in the event that coverage is denied. Different insurance reps might give you different answers, so it’s important to document the details of your call in case of a dispute.

Have more questions? Feel free to send an email to dalia@dsbnutrition.com or call at (949) 409-5676.

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