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Verify My Insurance Benefits

Coverage and benefits may vary based on your diagnosis and specific plan. It is important that you contact your insurance company to check your benefits. There are often costs associated with using insurance (co-pays, deductibles and/or limited visits) and you, the client, will be responsible for those fees. Regardless of coverage, we require a credit card to be kept on file.
Let the members service or HR representative know that your services will take place in Texas. Provide them with the billing code 97802 & 97803 and ask the following questions:
  1. ​Do I have benefits to see a registered dietitian for outpatient nutrition counseling or Medical Nutrition Therapy (MNT)? If yes, what amount of the fee will be covered?
  2. Is this coverage for "in-office" and/or "telehealth" services? Do I need to use a certain practitioner for telehealth services, such as MD Live or TeleDoc?
  3. Do I need a physician referral? Is pre-authorization required in order to submit a claim?
  4. Is coverage dependent on a diagnosis code? 
  5. Are there an limitation to the number of visits per year?
  6. Do I need to meet a deductible first? If yes, how much of the deductible? 
  7. Do I have a copay or out-of-pocket max first?
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