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Checking Insurance Benefits

medical weight loss

Chester County Nutrition and Weight Management is a participating provider with the following health plans:

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  • Aetna

  • AmeriHealth

  • American Specialty Health

  • BlueCross and/or BlueShield

  • Cigna

  • Highmark

  • Independence Blue Cross

  • KHPE

  • Personal Choice

  • United Health Care 

  • (We are NOT in-network with CHIP/Medicaid/Medicare/Disability/State Funded for the above plans. This includes KEYSTONE FIRST)

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CALL MEMBER SERVICES

Call and ask: 

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1. Does my plan cover outpatient nutrition counseling: Medical Nutrition Therapy, weight management, or prevention? 

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See if these CPT codes are billable:

  • 97802 & 97803
  • S9470

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2. What conditions or diseases are covered (ICD-10 codes)?

  • Common code to use: Z71.3, E66.9, E66.3

  • Click here to find diagnosis codes pertaining to your health.

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IF COVERED ASK...

 

1. “Are we in network?” 

Let them know our NPI:

NPI#- 1770789893 or 1396247433

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2. How many sessions are allowed?

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3. Do I have a deductible to meet first?

  • If yes, how much is your deductible?

  • How much of the deductible have you met?

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4. â€‹Do I have a co-pay?

  • If yes, how much is the co-pay?

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*Often times with preventative counseling there is no out-of-pocket costs.

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How to check your insurance benefits:

This page will guide you through checking your nutrition counseling benefits to ensure that our time together is covered by your insurance plan. 

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Here at Chester County Nutrition, we do accept insurance. We will bill your insurance for you after your session, however, you are responsible to know and understand your benefits prior to meeting with us. See the steps and questions below that you can use when contacting your insurance company.

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*If you are contracted with another insurance company, we are more than happy to provide you with a superbill to submit to your insurance company for reimbursement. This does not guarantee reimbursement. 

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RECORD CALL INFO

 

Record the representative’s name and a reference # when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim

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SCHEDULE A SESSION!

 

Contact us to book an appointment via phone at 610-518-5253 or via our online scheduling by clicking here.

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