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We are a preferred provider with Aetna, Cigna, Carefirst, and Blue Cross and Blue Shield.
Please note the type of nutrition coverage you have will depend on you specific plan contracted
by your employer. Below is a general guide. Although we strive to make it accurate and keep it
updated, it in no way relieves the patient of their individual responsibility to verify their
own coverages and benefits. To determine if nutrition services are covered, it is your
responsibility to contact your insurance company. If you do not have nutrition benefits,
ask your company's benefits department to cover medical nutrition therapy.
| Insurance |
Referral Needed |
Medically Necessary ** |
Comments |
| Aetna HMO |
No, a referral is not needed |
No. |
Nutrition Therapy usually covered |
| Aetna PPO |
No, a referral is not needed |
Yes. |
Coverage varies. |
| Aetna POS II |
No, a referral is not needed |
Yes. |
Not covered, we recommend you call your company's benefits department for coverage |
| BCBS Carefirst |
Yes |
Yes. |
Coverage varies. |
| BCBS National Account |
Yes |
Yes. |
Coverage varies. |
| BC/BS Blue Choice PPO |
Yes |
Yes. |
Coverage varies. |
| BC/BS Federal Employee Program -- Basic (ID starts with a "R" & Group #111 or #112) |
No, a referral is not needed |
Medical conditions are not necessary for coverage |
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| BC/BS Federal Employee Program Standard (ID starts with a "R" & Group #104 or #105) |
No, a referral is not needed |
Medical conditions are not necessary for coverage |
Patients have a $350 deductible. Call your insurance company to find out if it has been met. |
| Carefirst Fairfax County (ID starts with FCG) |
Yes |
Yes, patient must have diabetes |
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| Cigna PPO |
No, a referral is not needed |
Medical conditions are not necessary for coverage |
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| ** "Medically Necessary" includes the following medical
conditions: Diabetes, Hypertension, High Cholesterol, Anorexia, Bulemia,
GERD and Weight Loss Surgery.
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Contact us and our staff will verify your current benefits before your first visit. Benefits may be defined but not limited to, deductibles, co-pays, and co-insurance.
If your insurance plan is not listed, we will provide you with the necessary documentation to help you receive reimbursement from your insurance company.
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