Rates/Fees:
- Initial Assessment, typically approx. 85 minutes: $360
- Follow up visit, typically approx. 55 minutes: $210
- We offer a prompt payer discount for those who pay at time service.
BCBS Insurance:
Lutz, Alexander & Associates Nutrition Therapy is in network with BCBS NC and Regence BCBS Oregon. If you have any BCBS insurance, we will file insurance claims on your behalf with BCBS NC or Regence OR. (We are NOT in network with the BCBSNC health plans Blue Local, Blue Home, or Blue Value)
If you will be using your BCBS health insurance policy to cover a portion of your nutrition therapy, you will need to understand your coverage, including your co-pays, co-insurance and deductible. We strongly recommend you contact your insurance company prior to your first visit (see below).
Self Pay/Out of Network:
We are out of network with other insurance companies. We can provide you with a “super bill,” which can be submitted to your insurance company for reimbursement. You can call your insurance company to inquire about your out of network benefits. If we are out of network with your insurance company, you will need to pay for your sessions at the time of service, and if you choose to submit the super bill to your insurance company, the reimbursement will be paid directly to you.
As of January 1, 2022, all healthcare providers are required to provide estimates for the costs of your care, if we are not filing directly with your insurance company. A Good Faith Estimate will be provided by your clinician upon scheduling and/or as requested. While it is difficult to predict the number of sessions you will ultimately need to reach your treatment goals, we strive to be as transparent as possible about cost of treatment during this process.
For Clients with BCBS and Self Pay/Out of Network Clients:
Please call the Customer Service telephone number on the back of your insurance card prior to your first visit.
When calling your insurance company, ask the following questions to help determine your coverage:
- Is Lutz, Alexander & Associates Nutrition Therapy (NPI number 1902457856) currently an in-network provider for my plan?
- If not, what are my out of network benefits?
- Does my plan cover outpatient nutrition therapy CPT codes 97802 (medical nutrition therapy – assessment), 97803 (medical nutrition therapy – follow up), 97904 (medical nutrition therapy – group), or S9470 (“nutritional counseling”)? If you have diabetes, you may also want to ask about diabetes management codes, G0108 (individual) and G0109 (group).
- Do I have any nutrition counseling visits covered under the preventative care portion of my plan, (ICD-10 code z71.3)?
- Due to the COVID-19 pandemic, do I currently have coverage for services provided via telehealth?
- Do I need a physician referral?
- Do I have a deductible for “Nutritional Counseling Services?”
- If yes, how much is it and how much has been met so far?
- Is there a copayment for each visit or do I have co-insurance? If I have co-insurance, what is the percentage of coverage?
- How many sessions are covered per year?
- What month does the policy year renew?
- Are there any restrictions and/or limitations to my coverage?
- Write down and keep the reference number for your call.
Feel free to contact your dietitian or practice co-owner Anna Lutz anna@lutzandalexander.com, if you have questions about working with your insurance company.