Rates and Insurance
SELF PAY Rates
$200 Initial session 75 minutes
$160 Follow-up sessions 60 minutes
Sliding scale fees are available if needed. Please contact me for more information.
Billing and Insurance Coverage
Checking coverage for nutrition services:
If you would like to check with your insurance company before reaching out to me, please see a script you may use to obtain the insurance information HERE.
Please contact me at dsnutritionpllc@gmail.com if you would like my biller to check your insurance coverage for my nutrition services. It can take up to 4 business days to check coverage.
For claims, I work with a billing company to help make sure claims are processed correctly and dispute issues if they arise.
I am currently in network with:
Aetna
Aetna Choice® POS II (Open Access)
Aetna PPO
Elect Choice EPO
Elect Choice EPO (Open Access)
HMO
Cigna
Choice Fund Open Access Plus
Choice Fund PPO
Cigna Open Access Plus In-Network
Cigna PPO
Open Access Plus
Medicare Advantage
Cigna HMO
Local Plus
MetroPlus
Enhanced (HARP) Plan
Essential Plan
Exchange Managed Long Term Care
MetroPlus Gold
MetroPlus GoldCare
1199SEIU
Greater New York Benefit Fund
National Benefit Fund
National Benefit Fund for Home Care Employees – Plan A
National Benefit Fund for Home Care Employees – Plan B
Depending on the plan and the patient some common scenarios I see with nutrition coverage are as follows:
1199
Good coverage
Cigna
3 visits max
3 visits max plus additional visits if the patient has a referral or documentation of a medical condition (PCOS, Diabetes, High Cholesterol, BMI* related conditions, etc.). *For insurance purposes only; I have not found it useful to use BMI as a health indicator and problematic to focus solely on BMI and/or weight.
No visit limit
Aetna
Mostly good coverage, but most likely to deal with copays and deductibles
10 visit max for “Healthy diet counseling”
26 visit max for “Obesity counseling”
Metro Plus
Good coverage
Out of Network
For out of network patients, a super bill will be provided upon request
Even though I am out of network, some insurance plans may cover nutrition services (UHC has covered some sessions in the past)
Cancellation Policy
Please be mindful that I cannot bill your insurance for time we are not meeting face to face either in person or over Zoom. Please let me know at least 24 hours in advance if you need to reschedule or leave our session earlier than planned so I can plan accordingly. I understand that life happens and sometimes cancellations or rescheduling 24 hours in advance may not be possible once in a while.
If you need to cancel or reschedule your appointment, please do so by contacting me via email or phone at least 24 hours in advance of your appointment time. Appointments not canceled within this timeframe will be charged a flat fee of $25 dollars.
LATENESS Policy
Appointments will be held for 15 minutes. If you arrive within this time period, you will be seen, but your appointment time may not be extended. After 15 minutes, you will be charged a flat fee of $25 dollars.
SCHEDULING
Appointments may be scheduled by email (preferred), phone or online here.
Contact
Questions? Please contact me for further information.