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Did you know you could use insurance for your nutrition visits?

Wondering if you can use your insurance to see a registered dietitian? 
 
Good news is, in many cases, YES!

Many health insurance plans cover nutrition counseling, meaning your sessions may be covered depending on your individual benefits.

Some plans even include preventative nutrition counseling, so you may qualify for coverage even if you don't have a diagnosed medical condition.

Insurance benefits can vary from plan to plan, so we'll work with you to verify your coverage before your first appointment whenever possible.

If you'd like to learn more about using your insurance to cover nutrition counseling, click here to reach out. We'll contact you within 48 hours of you getting in touch.

If we're in-network with your insurance, we'll verify your benefits and let you know what your plan covers, including any copays, deductibles, coinsurance, or other out-of-pocket costs that may apply.

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The Details

What insurance companies does Gavi Nutrition participate with?

Currently, Natalie at Gavi Nutrition is a preferred provider with Anthem Blue Cross Blue Shield.

 

By September 2026, she will be in-network with Aetna and UnitedHealthCare.

Can I use my insurance for telehealth visits?

Most insurances cover telehealth services. We can confirm whether telehealth services are covered under your plan when we are verifying your benefits.

What if you're not in-network with my insurance?

If we're not in-network with your insurance plan, you can still choose to pay for your sessions out of pocket.​

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Many insurance plans offer out-of-network benefits, which may allow you to receive full or partial reimbursement for your visits.

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If your plan includes out-of-network coverage, we're happy to provide you with a superbill, which is an itemized receipt that you can submit to your insurance company for possible reimbursement.

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Please note that reimbursement is determined by your insurance plan and we cannot guarantee coverage or payment.

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Not sure if you have out-of-network benefits? We're happy to help point you in the right direction and answer any questions you may have.

I'd like to check my own benefits. What questions should I ask when I call my insurance company?

​Do I have nutritional counseling coverage on my insurance plan?

  • If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803. 

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Will my diagnosis be covered?

  • If the representative asks for a diagnosis code (aka ICD 10 code) – please tell them the visit is coded the ICD 10 code: Z71.3

  • If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan. 

  • If you have pre-diabetes, diabetes, hypertension, high cholesterol, or an eating disorder you may want to see what your coverage is for these diagnoses as well. 

  • We always code your visit using preventative coding (if applicable) to maximize the number of visits you receive from your insurance plan. However, if you ONLY have a medical diagnosis (for example: IBS) your insurance may impose a cost-share for your visit either in the form of a deductible, co-pay or co-insurance. 

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How many visits do I have per calendar year?

  • Your insurance company will let you know how many visits they are willing to cover. Depending on the insurance plan, the number of visits vary from 0 to unlimited depending on medical need.

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Will I have any out-of-pocket costs for my nutrition visit?

  • A cost-share is the amount you will need to pay as required by your particular insurance plan towards your services. A cost-share can be in the form of a deductible, co-pay, or co-insurance. 

  • We will always bill under your insurance policy’s plan, utilizing your preventative benefits, if your plan allows. With that being said, if you have preventive benefits, there is often no cost share associated with the visit. 

  • If you have a cost-share, we will initially bill your insurance company directly. Once we receive the EOB describing your responsibility as the client, we will bill your card on file for the amount noted under ‘client responsibility'.

  • For most insurance companies, dietitians are considered a specialist. Therefore, your specialist co-pay is applicable and must be paid at the time of service. This information is often apparent on the front of your actual insurance card. However, often because we bill your insurance with preventative counseling the co-pay is often not applicable.

  • We generally wait for the claim to be processed to determine whether you have a co-pay, and then charge the credit card on file with us for the co-pay amount.

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Summary of questions to ask to verify your nutrition benefits:

  • Do I have coverage for nutrition counseling?

  • Do I need a referral to see a Registered Dietitian?

  • Are my diagnoses covered on my particular plan?

  • How many visits per calendar year do I receive?

  • Do I have a cost-share for these services?

  • Is there an associated cost for me if I choose to have the appointment as a telehealth visit versus an in-person visit? 

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Still have questions? Feel free to email us at hello@gavinutrition.com

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