Lutz, Alexander & Associates Nutrition Therapy is in network with BCBS and will file insurance claims on your behalf with BCBS. (We are NOT in network with 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. It is important that you contact your insurance company prior to your first visit, so that we know how much to bill you. Please call the Customer Service telephone number on the back of your insurance card.
We are out of network with other insurance companies. We can provide you with a “superbill,” 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 the reimbursement will be paid directly to you.
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 counseling, CPT codes 97802 (nutrition assessment), 97803 (follow up), or 97904 (group)? 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)?
- 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?
Please bring your insurance card, along with the answer to these questions, to your first visit. Please note that we will not accurately know how much insurance will pay until we have filed and received payment. After that, we will adjust your balance accordingly.
Feel free to contact us if you have questions about working with your insurance company.