If you are a nutrition professional just beginning to start taking insurance, you may feel a little lost in the world of complicated jargon and legal terminology. Don’t worry, we’re here to break it down for you. Whether you’re in the process of getting credentialed or not, see how you might be able to use those credentials to help your private practice!
We are going to offer a few questions that you should be asking insurance companies to help familiarize yourself with the coverage and limitations of your client’s plans.
1. Does this company offer insurance coverage for nutritional coaching? What qualifies an individual for coverage? (Many insurance companies provide coverage for nutritional counseling as a treatment option for obesity and/or pre-diabetic preventative care. If there are specific qualifications an individual must meet to qualify for coverage, these two are excellent things to ask about.)
2. Does this coverage remain the same across insurance plans? If not, how does it change?
3. Are my current qualifications going as a dietitian, health coach, or nutritionist going to allow my services to be covered? (While the many insurance companies do provide some kind of insurance for nutritional care, coverage often varies between health coaches, nutritionists and registered dietitians. It is always a good idea to see how coverage applies individually to your practice.)
4. How is the extent of an individual’s insurance coverage determined? (Insurance companies have a number of various ways to determine coverage. Among them, popular solutions include capping a number of sessions – Aetna, for instance, allows for 26 nutritional counseling sessions as a treatment for obesity. Other popular solutions include allowing the individual’s primary care physician decide how many sessions are medically necessary.)
5. Last, inquire about how the company’s referral system works. Many nutrition professionals will say that insurance companies are their largest referral source. Every insurance company is different though. Much of this will vary especially with different specialties and regions, but it is always a great thing to ask about.
Looking for more tips on how to tackle insurance? Let us know at firstname.lastname@example.org!