Will my Insurance cover my visits?

DuPage Dietitians understands your need for high quality care at affordable prices.

PLEASE double check your insurance is covered. If you called once, call one more time before your appointment just to ensure. Insurance companies vary and information from insurance agents unfortunately do as well. That additional time spent double checking could you save you money!

Please read the following information carefully as it guides you how to check your benefits:

Preventive Services Covered Under the Affordable Care Act

Please discuss the new coverage guidelines with your insurance company. You need to advocate for your own rights.

If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, the following preventive services must be covered without your having to pay a co-payment, co-insurance, or meet your deductible. This only applies when you are with a network provider.

         Covered Preventive Services for Adults:

Diet counseling for adults at higher risk for chronic disease.

          Covered Preventive Services for Children:

Obesity screening and counseling.

This information is available at http://www.healthcare.gov/ 


We accept the following insurance

If you want us to check your benefits for medical nutrition therapy please email us following information.This however is not guarantee of coverage or payment from insurance company.

1. Name of the patient 

2.Date of Birth, 

3.Subscriber ID 

4.Group number 

5.Phone number from the back of the insurance card 

6. reason of your visit or diagnosis. Email all the required info to rd@dupagedietitians.com

AETNA:

·         Call the phone number on the back of your insurance and provide the following:

§  Subscriber ID# and/or Group Number

§  Date of Birth of future patient

§  Name of future patient

·         Verify that the following CPT codes are covered – 97802 and 97803 for Nutritional Counseling/Dietitian Services

·         If you are seeking dietitian services for a specific health concern (i.e. celiac, diabetes, eating disorder, etc.) please specify that to ensure coverage

·         If you are seeking dietitian services for general health (i.e. healthy eating) please specify if “V” codes are covered under your plan

·         Ask for and record reference number of the call for your records**

UNITED HEALTH CARE (UHC):

         Call the phone number on the back of your insurance card. You will need to provide the following:

§  Subscriber ID# and/or Group Number

§  Date of Birth of future patient

§  Name of future patient

         You may also visit www.uhc.co

Check for benefits under ‘Physician service and look for nutritional counseling’

  •         Verify that the following CPT codes are covered – 97802 and 97803 for Nutritional Counseling/Dietitian Services
  •          If you are seeking dietitian services for a specific health concern (i.e. celiac, diabetes, eating disorder, etc.) please specify that to ensure coverage
  •          If you are seeking dietitian services for general health (i.e. healthy eating) please specify if “V” codes are covered under your plan
  •          Ask for and record reference number of the call for your records**

UJj

B  UNION HEALTH SERVICES:

ReWith referral from the doctor visits to Dupagedietitians are  covered.

h

BLUE CROSS BLUE SHIELD (BCBSIL):

In last few months we have noticed increased coverage for dietitians services from BCBSIL. Please call BCBSIL to verify your specific benefits.  Dupage Dietitians will provide you with an insurance (1500) form for you to personally submit to your insurance company for potential reimbursement. If it  is a covered service BCBSIL will send you the reimbursement check directly.

Payment is due to Dupage Dietitians at time of services for BCBSIL patients

o    $130.00 – Initial Consultation

o    $60.00 – Follow Up Visit

CIGNA:

·           Cigna can pre approve the visits to Dupage dietitians as some plans do cover medical nutrition therapy/nutritional counseling

·           Call the phone number on the back of your insurance card

o    You will need to provide the following:

§  Subscriber ID# and/or Group Number

§  Date of Birth of future patient

§  Name of future patient

·          Verify that the following CPT codes are covered – 97802 and 97803 for Nutritional Counseling/Dietitian Services

·          If you are seeking dietitian services for a specific health concern (i.e. celiac, diabetes, eating disorder, etc.) please specify that to ensure coverage

·          If you are seeking dietitian services for general health (i.e. healthy eating) please specify if “V” codes are covered under your plan

·          Ask for and record reference number of the call for your records**

Humana:

 ·         Call the phone number on the back of your insurance card

o    You will need to provide the following:

§  Subscriber ID# and/or Group Number

§  Date of Birth of future patient

§  Name of future patient

·          Verify that the following CPT codes are covered – 97802 and 97803 for Nutritional Counseling/Dietitian Services

·          If you are seeking dietitian services for a specific health concern (i.e. celiac, diabetes, eating disorder, etc.) please specify that to ensure coverage

·          If you are seeking dietitian services for general health (i.e. healthy eating) please specify if “V” codes are covered under your plan

·          Ask for and record reference number of the call for your records**

 

HSA/HEALTH/FLEX SPENDING CARDS:

·          We do accept most Health Flex Spending cards

·          We require an additional credit card to be on file



 CASH/OUT of POCKET

VeriSome of you may not have insurance coverage or may have other financial barriers. Think of the expense to see a dietitian as an investment in your health. You will save money long term.We also offer affordable payment plans. Contact us for more information.


**IMPORTANT**

If your insurance company states Nutritional Counseling is a covered service they are supposed to pay, HOWEVER, this is not always the case and most insurance companies do mention, “The quoting of benefits is not a guarantee of payment” & “eligibility and benefits determination will be made at the time the claim is submitted for processing.” Dupage Dietitians have dealt with and seen many cases like this with various insurance companies; it is the patients responsible to dispute unpaid claims.

If claims are unpaid, your fees for services are as follows:

 

                $140.00 – Initial Consultation

                $70.00 – Follow Up Visit

 

Dupage Dietitians accepts all major Credit Cards, Checks and Cash.

 

QUESTIONS, COMMENTS, CONCERNS OR SET UP AN APPOINTMENT

Please feel free to contact our office by phone (630) 839.9296 or by email at rd@dupagedietitians.com. We would be happy to assist in any way we can!