Checking Your Insurance Benefits

Are you ready to work together to meet your nutrition and health goals? Please call your insurance carrier before beginning treatment with Christina. You are responsible for knowing your insurance benefits as having insurance is not a guarantee of coverage.

Christina Frangione, MS, RD, CDN, RYT is currently in network with Aetna, Cigna, and Empire NYSHIP. She is out of network with all other health insurance plans which means your insurance company may still reimburse you for nutrition visits.

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Checking Your Insurance Benefits:

Call the member services number on the back of your card and ask:

  1. Is Christina Frangione in network with your specific plan? (NPI number: 1023516762) If I am not in-network, ask if you would be able to see me using out of network benefits and ask what steps you would need to take to file for reimbursement for out of network benefits.
  2.  Does your plan cover outpatient nutrition counseling (CPT codes 97802 and 97803 [and 99404 for Cigna])?

    1. Is there a limit on the number of allowed visits per year?

  3. Does your plan cover ICD-10 code Z71.3 [Z72.4 for Aetna]? If applicable, does your plan cover eating disorder diagnoses (F50) or BMI codes? 

  4. Are telehealth sessions covered?

  5. Do you have a deductible to meet before nutrition counseling benefits can be used?

  6. Do you have a co-pay or co-insurance for nutrition counseling? If yes, how much is it? (A registered dietitian is considered a specialist)

  7. Record the representative’s name you spoke with and the reference number for the call (this information will be be necessary if you ever need to dispute a rejected claim).

You will be responsible for any visits which your insurance carrier denies payment.

 

 

step by step explanation for how to use your out of network benefits:
1) call your insurance
2) pay for your session at time of visit
3) receive your invoice
4) send the superbill to your insurance
5) receive a check