Fees and Office Policy

To prepare for your Nutrition visit with the Registered Dietitian:

Using Insurance

You must check insurance coverage before coming in for your appointment. Even if you have an excellent insurance policy it does not mean you have coverage for nutritional services. To verify your nutrition coverage please call the 800 number on the back of your card and ask to speak with a representative from member services. The provider for the visit is Katie Jeffrey, RD. Please ask the representative the following questions:

1. Do I have nutrition services on my current insurance policy?

2. Is my diagnosis covered? [You can get this diagnosis from your doctor or ask if they cover the diagnosis code: Z71.3 (dietary surveillance and/or counseling)]. The CPT codes we use are: 97802 and 97803.

a. If you have a PPO plan you do not need a doctor’s referral/order.

b. If you have an HMO plan, you will need a doctor’s referral/order. Please bring it with you to your appointment.

3. How many covered visits do I have per calendar year?

4. What is considered a calendar year for my current policy?

5. Do I have a co-pay or deductible for nutrition services?

You will be asked to pay any applicable co-pays and/or deductibles at the time of your visit. You will also sign a liability waiver stating that you will be responsible for the charges if your insurance does not cover the visit.

What insurance companies do you participate with?

At the present time we are in-network-providers with:

At the present time we are in-network-providers with:

a. Anthem Blue Cross and Blue Shield of Rhode Island (if your insurance provider is Anthem Blue Cross and Blue Shield of CT or MA, nutrition counseling may be covered under your policy’s out-of-network policy since FitNutrition is an in-network-provider with BCBSRI, please ask to see if this applies for your policy)

b. Anthem Blue Cross and Blue Shield of Connecticut

c. Group Health, Inc (PPO; Benefit Plan)

d. American Specialty Health Group, Inc. National Accounts (ChooseHealthy Affinity Program)

i. Advantra (a Coventry Health Care Plan)
ii. Aetna Discount Program
1. Aetna Resources For Living
2. Innovation Health
iii. AvMed Health Plan
iv. Cigna Health Corporation
v. Empire HealthChoice, Inc, (Empire BlueCross BlueShield)
vi. Health Net
vii. Healthyroads Collection (National)
viii. Mercy Health Plans (a Coventry Health Care Plan)
ix. Regence BlueShield
x. UNICARE (National)

e. ConnectiCare

f. UnitedHealth (able to offer a discounted rate)

What happens if you participate with my provider – but when I called the insurance company they told me I have a yearly deductible I have not met?

In the event you have a deductible we will not be able to initially bill your insurance company directly. Therefore, payment is due at the time of the visit. We will provide you will the appropriate documentation to submit to your insurance company to show receipt of the services. This will allow you to “pay down” your deductible. Once your deductible has been met and you have nutrition services on your policy, we can then directly bill your insurance company.

What happens if I have an insurance that you do not participate with?

In the event you carry insurance that we are considered out of network (Oxford, United, Cigna, Aetna) for you will need to pay for your counseling session at the time of service. We are happy to provide you with a “Superbill” and/or an itemized invoice you can submit to your insurance company for reimbursement. Reimbursement is based on your policy’s standards. Please call your insurance company’s member services number to verify how reimbursement works under your current insurance policy.

What forms of payment do you accept?

We accept cash or check. Please make checks payable to FitNutrition, LLC. Due to the fact that we are not MD’s – we cannot accept Health Saving Account (HSA’s) debit or credit cards.

Cancellation Policy

If unable to keep an appointment, please notify us at least 24 hours in advance. Failure to cancel at least 24 hours prior to your appointment will result in a $35 charge. This charge is not covered by insurance.