In-Network Plans
We are working to add additional coverage. If you would like to request that your plan be added, please contact us (but note that it typically takes several months or some insurances are not accepting new providers).
BCBS
Typically covers unlimited visits with $0 out-of-pocket on most plans; however, BCBS can vary a lot with small or self-funded plans, so we like to verify benefits before our fist visit.
UHC
United Healthcare covers unlimited visits with $0 out-of-pocket for preventative nutrition for some diagnoses:
No doctor referral/written diagnosis required (aka the easiest):
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Family History of Ischemic Heart Disease (IHD)/Coronary Artery Disease (CAD).
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Overweight or obesity (BMI over 25).
The following require a written diagnosis from a DO/MD:
• Prediabetes/impaired fasting glucose
• Metabolic syndrome
• Insulin resistance or diabetes
• Hypertension
• Coronary atherosclerosis
• Hyperlipidemia/dyslipidemia
• Nicotine/tobacco dependence
• Healthy weight maintenance in pregnancy
• Pediatric BMI >95% for ages 6 and older
Other diagnoses are usually partially covered, but your copay and deductible may be applied (you can login to your UHC portal and use the cost estimator to estimate cost).
HealthChoice
Typically covers unlimited visits with $0 out-of-pocket.
Ambetter
Typically covers unlimited visits with $0 out-of-pocket.
Medicare
Medicare only covers Medicare Nutrition Therapy for diabetes (any type) or CKD stage 3 or higher. A doctor's referral with diagnosis is required.
Medicaid
Medicaid requires a medical diagnosis with a referral from your PCP. Obesity does not qualify, but morbid obesity does. Intellectual disability alone can qualify. Many many conditions qualify.
Humana
Follows Medicare or Medicaid guidelines depending on the plan.
Oklahoma Complete
Follows Medicare or Medicaid guidelines depending on the plan.
Aetna
DDSD waiver
Aetna Medicare or Medicaid plans follow guidelines listed above. Commercial plans typically cover 10 visits per calendar year, with an additional 16 visits available if overweight or obese.