Accepted Insurance Plans
Medical Nutrition Therapy insurance coverage varies based on the carrier and your specific plan.
AETNA MEDICAID Texas
AMERIGROUP (MEDICAID Texas)
Blue Cross Blue Shield (Anthem and others)
CIGNA Healthcare
CIGNA Medicare
Cook Children’s Health Plan
HUMANA
HUMANA Medicare
MEDICAID
MEDICARE
Molina Healthcare
PARKLAND Community Health Plan
United Healthcare Choice Plus
Other Insurances and Medicare Advantage Plans
Medicare Benefits
How often is it covered?
Medicare covers medical nutrition therapy services prescribed by a doctor for people with diabetes or kidney disease. This benefit includes:
• An initial assessment of nutrition and lifestyle assessment
• Nutrition counseling
• Information regarding managing lifestyle factors that affect diet
• Follow-up visits to monitor progress managing diet
Medicare covers 3 hours of one-on-one counseling services the first year, and 2 hours each year after that. If your condition, treatment, or diagnosis changes, you may be able to get more hours of treatment with a doctor’s referral. A doctor must prescribe these services and renew their referral yearly if you need treatment into another calendar year.
Our Registered Dietitian, a nutrition professional, will be providing these services for you.
Who’s eligible?
Medicare covers medical nutrition therapy and related services if you have diabetes or kidney disease, or you had a kidney transplant in the last 3 years, and your doctor refers you for the service.
What is the cost of these services?
Your costs in Original Medicare: You pay nothing, $0 for these services and deductible does not apply when you are referred by your doctor.
Your costs in Medicare Advange Plans: Your out of pocket and deductibles will have to be verified by our office with your insurance company.