Benefits Checker

As an out-of-network provider, We have partnered with Mentaya to help our clients save money on therapy. Use the tool below to see if you qualify for reimbursement for our services. & cop

Looking to partner with a dietitian?

 Use the questions below to find our your nutrition benefits.

How to check with your insurance for nutrition benefits:

  1. Call member services, the number should be on the back of your insurance card. Ask “Does my plan cover in-network outpatient nutrition counseling?” Y/N
  2. Ask “Does my plan cover codes: 97802 and 97803?” Y/N

If yes, ask how many sessions are allowed with which code?

3. Ask “Does my plan cover 99205 and 99215?” Y/N

4. Does my plan cover S9470?  Y/N

5. Does my plan cover 99401, 99402, 99403 or 99404? Y/N 

If yes, how many sessions are allowed with which code?

6. Does my plan cover visits that are “medically necessary”? (F50.02)*    Y/N

7. Does my plan cover visits that are preventive services? (code: Z71.3)*    Y/N

8. Do I have a deductible to meet? Y/N

9. If yes, how much is my deductible?_________

10. How much of the deductible have I met so far?____________

11. Do I have a copay for outpatient nutrition counseling (97802, 97803, 99205 and 99215)? Y/N If yes, how much? __________

12. Do I need a physician referral or prior authorization?  Y/N   __________

13. If the provider is out of network, is there a possibility of reimbursement?Y/N

If yes, ask for your specific out of network benefits following the questions above. 

(CCFC can provide a superbill for you to submit for insurance reimbursement if so)____________________________________________________________

14. Ask specifically if your insurance would cover a single case agreement to work with the provider out of network? Ask what is the process for formally requesting a single case agreement?  _________________________________________________________

15. Do you have an FSA/HSA? If yes,  can you use those accounts to pay for dietician visits?

Record the representative’s name and a reference # when checking your benefits.

Representative’s name___________ Call Reference #____________