How to Check your Insurance Benefits

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

 
1. Does my plan cover outpatient nutrition counseling? (CPT codes: 97802, 97803, and S9470)

a. If yes, how many sessions are allowed?

 

b. Does my plan only cover visits that are “medically necessary”? or do they also cover preventive services? (Dietitian likely to use code, Z71.3)

 
2. Do I have a deductible to meet first?

a. If yes, how much is your deductible?

 

b. How much of the deductible have you met?

 
3. Do I have a copay for outpatient nutrition counseling?
 

4. 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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