Generally insurance plans will cover Medical Nutrition Therapy (MNT)/nutrition counseling.
Bay Area Nutrition (BAN) is contracted with the following PPO Insurance Plans: Aetna, Cigna, HealthNet, Meritain, United Healthcare, and UMR.
- Referrals – California state law REQUIRES all dietitians to have a referral from your physician or medical provider with a billable diagnosis to provide services regardless of insurance company’s criteria. So your insurance company may not require a referral, but CA law requires a referral to Registered Dietitian Nutritionists (RDN) to receive nutrition services.
- We recommend YOU contact your insurance company to determine if your specific insurance plan covers Medical Nutrition Therapy (MNT)/nutrition counseling, even if your physician wrote a referral. We do not want clients surprised by bills.
- Please use the Insurance Benefit Verification Procedure document we have provided as a guide.
BAN is also contracted with various HMO products through the Santa Clara County IPA (SCCIPA) and Affinity Medical Group (AFMG).
- Pre-Authorization for these HMO plans is required prior to your appointment for your insurance to cover the session.
- Please use the Insurance Benefit Verification Procedure document we have provided as a guide and scroll down to your medical group for instruction.
BAN is out of network with other insurance companies. We are able to provide you with a superbill so you can self-seek reimbursement.
