Insurance Coverage for Nutrition Counseling

Please be aware that Pace & Tebb Nutrition Counseling may call your insurance company to assist you in verifying coverage as a courtesy but we cannot guarantee payment from your insurance company. Any charges denied by your insurance company will be billed directly to you. If you have questions or concerns, you may find it helpful to contact your insurance company directly.

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

Under the law, health care providers would need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for services. You have the right to receive a “Good Faith Estimate” explaining how much your care will cost with our practice so as of January 1, 2022, if you do not want us to file with your insurance, a Good Faith Estimate will be provided by upon scheduling and/or as requested.

Please be aware that if you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

We will save all benefit quotes from your insurer in our EHR but we encourage our patients to save a copy of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

No Surprise Act Disclosure Notice

Good Faith Estimate FAQ’s

****Please note that while most insurance companies do not require a referral, medical records are preferred as they can assist our providers in providing adequate care*********

BCBS
Cigna
PHCS
United Healthcare
Aetna
Medicare
BCBS
BCBS of North Carolina Blue Options, Advantage, Select, Value, and Home
(Please note this is a different plan from the BCBSNC State Health Plan)

Most policies cover nutrition counseling at 100% with no copay or deductible. Some (grandfathered) policies do have restrictions. BCBSNC is currently providing telehealth coverage for nutrition counseling through December 31, 2020. Updates will be provided as they come available.

North Carolina State Health Plan
(Please note this is a different plan from the BCBS of North Carolina Plan)

Policies cover nutrition counseling at 100% with no copay or deductible. BCBSNC State Health Plan is currently providing telehealth coverage for nutrition counseling through December 31, 2020. Updates will be provided as they come available.

Federal

Covers 6 nutrition counseling visits each year with no copay. BCBS Federal is not providing telehealth coverage for nutrition counseling.

Out of State

Every plan is different our office can assist you with verifying benefits if requested. Many plans are currently providing telehealth coverage. Updates will be provided as they come available.

Cigna

Every plan is different; most plans cover nutrition counseling with little or no expense to the member. Telehealth services are available through Cigna.

PHCS

Every plan is different; please call PHCS prior to visit to confirm benefits.

United Healthcare

Every plan is different; most plans cover nutrition counseling with little or no expense to the member. United Healthcare is currently covering telehealth for nutrition counseling until December 31st 2020. Updates will be provided as they become available.

Aetna

Most Aetna plans have a nutrition counseling benefit. Dedutible or copays may apply. Telehealth services are available through Aetna.

Medicare

Covers nutrition counseling for patients with diabetes or non-dialysis kidney disease only. Our office will only file Medicare insurance for those patients who have diabetes and who have a doctor’s referral.

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