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. Does my plan cover outpatient nutrition counseling (CPT codes 97802 and 97803)?

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

    2. Is there a limit on the number of allowed units per session or per year?

  2. Does my plan only cover preventative “medically necessary” visits, or does it also allow and cover services as a primary diagnosis (ICD-10 code Z71.3)? Does my plan cover eating disorder diagnoses (F50)? (if applicable) Your plan may also cover certain BMI codes.

  3. Are telehealth sessions covered?

  4. Do I have a deductible to meet before nutrition counseling benefits can be used?

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

  6. Do I need a physician referral? If yes, please obtain their NPI number and have them fax a referral to Christina Frangione.

  7. Is Christina Frangione in network with my 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.

  8. 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.