Insurance

ProActive Nutrition accepts medical insurance, however insurance coverage varies greatly dependant on individual policies and medical diagnoses.  Not all insurance policies are created equal, so we encourage you to check with your insurance company to determine in Medical Nutrition Therapy is a covered benefit.  

Insurance coverage is usually dependant on medical diagnoses, and varies between insurance companies and among individual policies within any given insurance company. Typically medical diagnoses such as diabetes, high cholesterol, high blood pressure, eating disorders, anemia, gastrointestinal problems, and nutritional deficiencies, etc are covered by insurance.  Many other medical diagnoses are also often covered by insurance.  Weight management,  general nutrition counseling for health & wellness, disease prevention, and sports nutrition are not typically covered by insurance unless there is an accompanying medical diagnosis.  It is ultimately the patient’s responsibility to contact his/her insurance company to determine if our services will be covered.  You will be responsible for any balance not covered by insurance.  

 There are a few insurance companies with whom we are not preferred providers.  This is generally for one of two reasons:  1) Some insurance companies do not include Registered Dietitians as part of their provider networks, or 2) the reimbursement contracts offered to Registered Dietitians have unreasonably low reimbursement rates for Medical Nutrition Therapy (insufficient to cover our costs).      

 In cases where ProActive Nutrition, LLC is not part of your insurance company’s provider network, you will be required to pay up front at the time of service, but we are happy to bill your insurance electronically on your behalf or to provide a paper “super bill” containing all necessary billing codes and information for you to personally submit to your insurance company.  Often insurance companies will provide patients with at least partial (out of network) reimbursement when a “super bill” or claim is submitted. For some insurance companies this can mean being reimbursed 60% or more of your total fee; and in some instances a flexible health savings account may cover the rest.  It varies greatly between plans, so it is always recommended that you check with your insurance company and/or your employee benefits officer to be sure of your coverage. 

 Many flexible health benefit plans  (or health savings accounts) do cover Nutrition Therapy and can be used for part or all or your payment for nutrition therapy.  Check with your human resources director to see if this is an option for you.      

Co-payments are due at time of service (we accept cash, checks, debit cards, and Visa & MasterCard payments).  

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Medicare 

 ProActive Nutrition, LLC is NOT a Medicare provider and does not accept payment from Medicare.  If you are a Medicare patient you have the right to see a Registered Dietitian who is a Medicare provider.  If you choose to have Medical Nutrition Therapy provided by ProActive Nutrition, LLC you waive your right to this Medicare option and agree to pay for services provided by ProActive Nutrition, LLC privately. 

**Please contact us via phone or email if you have questions about insurance coverage and/or payment options. ** 

  



     

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