Rates and Insurance
Self-Pay Rates
Adults
Initial Session (75 minutes): $200
Follow-Up Sessions (45-55 minutes): $120
Insurance Coverage
Insurance Verification & Estimated Coverage
If you are using an insurance plan I participate with, benefits will be verified and a cost estimate provided before your first visit. Insurance verification is an estimate only and does not guarantee coverage or final cost. Copays, deductibles, and coinsurance are determined after the claim is processed. You are responsible for any portion not covered by insurance at the time of service. In the event of a discrepancy between the estimated insurance benefits and the final processed claim, we will follow up with your insurance provider to clarify the issue and determine the appropriate charge. If the final amount differs from the estimate, you will be notified before invoicing/billing.
Verification takes up to one week and is for those seriously considering working together.
You may also check it yourself/if you you are using an out of network plan: Call your insurance using the sample script. I can help with ICD-10 codes—email dsnutritionpllc@gmail.com.
In-Network Insurance Plans
I am currently in-network with the following insurance providers and plans:
Aetna
Aetna Choice® POS II (Open Access)
Aetna PPO
Elect Choice EPO (including 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 & B
Common Coverage Scenarios
1199SEIU:
Solid coverage for nutrition services.
Cigna:
Often covers up to 3 visits, with the potential for more if there is a medical diagnosis such as PCOS, diabetes, high cholesterol, or a BMI-related condition.
Note: While insurance may require BMI as a qualifier, I do not use BMI as a primary health indicator and recognize the limitations and potential harm in focusing solely on BMI or weight.
Aetna:
Generally good coverage but often involves copays and deductibles.
Can be the most challenging to verify coverage with.
Coverage examples:
Up to 10 visits for “Healthy Diet Counseling”
Up to 26 visits for “Obesity Counseling”
MetroPlus:
Usually provides solid coverage for nutrition services.
Out-of-Network Coverage
If I am not in-network with your insurance, I can provide a superbill upon request. Some out-of-network plans (e.g., UHC and Emblem) may still reimburse for nutrition services, depending on your benefits.
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.