We are in-network with most Cigna, Aetna, UnitedHealthcare/UMR, and Anthem/BlueCross BlueShield insurance plans

because quality nutrition support should be accessible and affordable!

Use your health insurance for nutrition counseling, eating disorder treatment, and medical nutrition therapy

We take health insurance! 

90% of our clients are fully covered for nutrition services through their insurance, with $0 out-of-pocket costs, including telehealth nutrition counseling.

We want to help you access compassionate, evidence-based nutrition support from expert healthcare professionals. Many insurance plans cover nutrition counseling for preventative services and/or medical treatment including for eating disorders, disordered eating, and chronic diseases.

Use this easy three-step process to find out if you’re covered!

It is recommended to verify your insurance benefits BEFORE your first session as your coverage could have specific qualifications. Please see below for the questions to ask your insurance representative before making an appointment, as you will be responsible for any fees not covered by insurance.

STEP ONE: Locate the phone numbers on the back of your health insurance card and be ready to share the reason for calling (asking about nutrition counseling benefits) and any medical/nutritional diagnoses. Use this form to fill in as you go.

STEP TWO: Call the member services number on the back of your card and ask:

  • Does my plan cover outpatient nutrition counseling? (CPT codes: 97802 and 97803)

    • If yes, is there a limit on the number of allowed sessions per year or lifetime?

    • For Cigna plans only: If no, ask them to check your coverage for CPT code 99404.

  • Does my plan only cover visits that are “medically necessary” or does it also cover preventive services?

    • You may provide the preventative diagnosis code: Z71.3 - dietary counseling and surveillance

    • Medical diagnosis code examples: eating disorders, diabetes, cardiovascular, overweight/obesity and BMI codes*

  • Does my plan cover telehealth for nutrition counseling? (location code: 10 for Anthem/BCBS and UHC; location code: 02 for Aetna and Cigna)

  • Do I have a deductible to meet first?

    • If yes, how much is my deductible?

    • How much of the deductible have I met?

    • Do I have a co-insurance to pay after the deductible is met?

  • Do I have a copay for outpatient nutrition counseling?

  • Do I need a physician (PCP) referral?

    • If yes, ask if there are specific diagnoses that are required in order to have coverage for sessions. You can request a referral from your doctor and have it faxed to us at 719-890-7320. We must have the referral BEFORE your first appointment in order for your visits to be covered.

    • If you have an HMO plan, the referral must come from the PCP on file with your insurance.

  • Record the representative’s name and the call reference number when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim. We will assist in managing rejected/denied claims when actual coverage does not match what was quoted by insurance.

STEP THREE: Make an appointment and get started!

​Please Note: Insurance providers sometimes say one thing and then commit to another. This form can be helpful to facilitate a conversation to verify your benefits; however, we are not held responsible for charges that your health insurance may bill as this is, unfortunately, out of our control. Any costs not covered by insurance are the responsibility of the patient.

*Maddox Nutrition takes a weight-neutral approach to nutrition support and we do not believe that weight is a primary indicator of health. However, some insurance companies base their nutrition benefits off of weight/BMI for diagnosis codes related to “overweight” or “obesity". It is up to you to share weight/BMI/”obesity” diagnoses information with your insurance representative in case coverage differs based on these codes.

It is highly recommended to verify your insurance benefits before your first session, as you will be responsible for any fees not covered by insurance. Any costs not covered by insurance including copays, coinsurance, deductible amounts, and rejections will be charged to the payment method on file.

What if I don’t have insurance coverage?

We believe quality nutrition support should be accessible for everyone! Here are our cash pay rates and package options:

A la carte sessions:

  • 90-120 minute Initial Nutrition Assessment: $240

  • 50-60 minute Nutrition Follow Up Session: $140

Nutrition Counseling Packages:

  • 3 month package: $560 per month for 3 months (5% savings)

    • 12 total sessions including one initial assessment and 11 follow up sessions

  • 6 month package: $500 per month for 6 months (15% savings!)

    • 24 total sessions including one initial assessment and 23 follow up sessions

  • 9 month package: $440 per month for 9 months (35% savings!!)

    • 36 total sessions including one initial assessment and 35 follow up sessions

On average, most clients work with us for anywhere between 3 months and 1-2 years or more depending on individual medical and mental health concerns. Booking a package offers a reduced rate for both the initial assessment and follow up sessions compared to booking a la carte sessions.

We offer a limited number of sliding scale spots for clients experiencing financial hardship. Please contact us directly to discuss sliding scale options.

FAQs

  • Our practice policy states that no shows and sessions cancelled with less than 24 hours notice will incur a late cancellation/no show fee. The fee is the same as the cash pay rate of the session: $240 for initial assessments and $140 for follow up sessions.

    Sessions are considered as a no show after 15 minutes past your scheduled session time. This is necessary because your session time is reserved in advance especially for you and we are unable to book another client in that spot last minute. For clients normally using their insurance to cover sessions, the fee still applies because we cannot bill insurance for a session that did not happen.

  • Changing your health and relationship with food does not happen overnight. Booking a package, rather than individual sessions, offers the consistent support needed for real, lasting progress for recovery and health behavior change. Recovery and developing new habits take time—having sessions scheduled in advance helps maintain momentum, accountability, and trust between you and your dietitian.

    Our packages are designed to offer savings to clients who work with their dietitian long term. and simplify scheduling. Committing to a package sets you up for deeper healing and meaningful, sustainable change.

  • Schedule changes happen! We just ask for at least 24 hours notice if you need to cancel or reschedule your session. If you’ve booked a package, late cancelling with less than 24 hours notice or not showing up to your scheduled session will forfeit that session and the cost of that session cannot be refunded.

In accordance with the No Surprises Act of 2022, you have the right to request a 'Good Faith Estimate' which outlines the expected or anticipated out-of-pocket costs for treatment. During your initial appointment, your dietitian will recommend a session frequency based on your individualized needs. This frequency will be constantly evaluated and adjusted based on your progress. You will only confirm and consent to one session at a time, which your dietitian will schedule at the end of each appointment.

For more information please visit, www.cms.gov/nosurprises. To request an estimate, use the contact me form on my site or request a free discovery call consult!

Good Faith Estimate