Rates & Health Insurance

Heal U Accepts:

United HealthCare / UMR

Cigna

Blue Cross Blue Shield

Aetna

Medicare

United HealthCare Community

Many Medicare Advantage Plans

Payment:

Cash rates vary by provider, please see individual bio’s for rate information.

We accept cash, check, credit/debit cards, HSA & FSA cards.

A credit/debit card on file is required to secure appointments.

Guide To Checking Benefits 

Call the member services number on the back of your insurance card 

Here are some questions you’ll want to ask: 

  • Do I have benefits for nutritional counseling, CPT codes 97802 & 97803?
  • Do I have any nutrition counseling benefits covered under the preventative care portion of my plan? (ICD-10 code Z71.3)
  • Is a doctor’s referral required?
  • How many visits am I allowed per year?
  • Are there any restricted diagnoses?
  • Are telehealth/ virtual visits covered?
  • Do I have a deductible to meet before insurance pays?
  • Do I have a co-pay or co-insurance?
  • Is Heal U and/or my preferred dietitian/ nutritionist a covered provider under my plan? If not, what are my out-of-network nutrition benefits?

IMPORTANT!!!!!!  Be sure to ask for the representative’s first name and last initial, a reference number for the call and document the date of the call. Then Contact Us. 

Regarding Insurance Coverage:

 As a convenience to you we have we have listed some general information below regarding insurance coverage for nutrition therapy based upon our knowledge and/or experience to date with the companies.​​​ Please understand that we absolutely cannot know the details of each plan and that the information below is not a guarantee of coverage. Your insurance plan is a relationship between you and your insurance company therefore it is your responsibility to know what your plan covers and what your portion of the cost is.

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BCBS
  • A doctor’s referral is typically not required.
  • We can accept any out-of-state BCBS plans such as Anthem Blue Cross, BCBS of Virginia, BCBS Federal, etc.
  • Typically covers a variety of diagnoses  
  • Blue Cross Blue Shield’s Federal Employee Program (FEP) generally covers 6 nutrition visits annually, with additional visits permitted when medically necessary.
  • BCBS State Plans
    • Typically covers 3 wellness/ preventative visits at 100%, meaning no cost to you. 
    • Typically covers 6 visits with a diagnosis of diabetes at 100%, meaning no cost to you. 
Cigna
  • A doctor’s referral is typically not required.
  • At least 3 wellness/ preventative visits are covered per year at 100%, meaning no cost to you. 
  • Typically covers 6 visits with a diagnosis of diabetes
  • Typically provides unlimited visits with a diagnosis of an eating disorder
Medicare
  • A doctor’s referral is always required. Have your doctor fax it to us at (415) 301-6046. It is the client’s responsibility to ensure the referral has been received prior to any scheduled appointments.
  • Nutrition therapy is ONLY covered with a diagnosis of diabetes or pre-dialysis kidney disease. Medicare does not cover pre-diabetes or any other diagnoses. 
  • Medicare limits the amount of nutrition therapy to 3 hours for the first calendar year you received nutrition therapy. Medicare limits the amount of nutrition therapy to 2 hours for the second calendar year. 
  • Additional hours may be requested if your health status changes
Medicare Advantage Plans
  • We are currently not in network with any Medicare Advantage Plans. 
  • We can bill as an out of network provider for Blue Cross Blue Shield Advantage plans however you are responsible for what your plan does not pay regardless of your diagnosis.
Unitedhealthcare
  • We are in network with UHC including: Commercial UHC plans, Medicare & Medicad plans 

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