Yes, we are in network with Aetna, Cigna, Curative, Anthem Blue Cross Blue Shield, UMR, United Healthcare, Meritain and Medicare*.

(*Medicare and Medicare Advantage plans only cover nutrition sessions if you have a diagnosis of diabetes or stage 3a, 4 or 5 chronic kidney disease.)

If we are not in network with your particular insurance company and you have out of network benefits, we can provide you with a superbill for you to submit to your insurance company. You will need to request a superbill from us at the time of your appointment. These are not sent automatically.

When using a superbill, you will pay for services upfront and the insurance company will reimburse you, the client, afterwards.

Verify your benefits here.

In the event your claim is denied for lack of nutrition coverage, our initial visits (60-90 minutes) are $180.00 and each follow-up visit (30-60 minutes) is $90.00. Caitlin Russell Nutrition accepts cash, check, HSA/FSA cards and all major credit cards.

You are responsible for knowing and understanding your applicable insurance policies.

We are in network with Aetna, Cigna, Curative, United Healthcare, UMR, Anthem Blue Cross Blue Shield, Meritain, and Medicare*.

(*Medicare and Medicare Advantage Plans only cover nutrition sessions if you have diabetes or stage 3a, 4 or 5 chronic kidney disease.)

In the event your claim is denied for lack of nutrition coverage, our initial visits (60-90 minutes) are $180.00 and each follow-up visit (30-60 minutes) is $90.00. Caitlin Russell Nutrition accepts cash, check, HSA/FSA cards and all major credit cards.

You are responsible for knowing and understanding your applicable insurance policies.

Verify nutrition coverage here.

You can verify your nutrition coverage here.

In the event your claim is denied for lack of nutrition coverage, our initial visits (60-90 minutes) are $180.00 and each follow-up visit (30-60 minutes) is $90.00. Caitlin Russell Nutrition accepts cash, check, HSA/FSA cards and all major credit cards.

You are responsible for knowing and understanding your applicable insurance policies.

You can verify your nutrition coverage here.

It’s important to know that any time you contact a health insurance provider to obtain benefits, they provide this disclaimer:

“A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service.”

Essentially, your insurance company isn’t responsible if they tell you that a service is covered and then it turns out that’s not actually the case.

We know this can be frustrating. If we file your claim timely & correctly but your insurance provider does not provide the benefits you were quoted, please contact your health insurance company directly to have them reprocess your claim correctly.

Your credit card is only charged if you DO NOT show up for your visit, you cancel without providing a 24-hour notice, your claim is denied or if your insurance plan has an unsatisfied deductible, co-pay, or co-insurance.

We code your visit with us (when applicable) under the preventative side of your policy; therefore, most of the time, no co-pay or deductible needs to be met for our services.

Your time is super valuable! And so is ours.

If you are a no-show for your visit or cancel without providing 24 hours’ notice, we can’t charge the insurance for a visit that didn’t occur. Therefore, we have a credit card on file to protect the dietitian’s time.

In full transparency, this rarely happens. However, we treat all patients the same and require a credit card in the rare event it does.

If you need to cancel your appointment (and it is MORE than 24 hours away), you can do so through our HIPAA secure patient portal HERE. Click on ‘Upcoming Sessions’ to request a change.

If you wish to cancel your appointment (and it is LESS than 24 hours away), you can’t do so online. You must email us at caitlin@russellnutrition.com.

Per our office policy, a late cancellation fee of $75 may occur. We understand emergencies come up. And you will not be penalized for something outside of your control.

We just ask that you communicate with us.

Most insurance companies cover telehealth visits.

If you are out of our area, (Caitlin works in East Cobb, GA), you will be directed to properly book for a telehealth session.

However, it is possible your insurance plan may impose a cost-share or co-pay for you to use this service, though most of our clients do not pay anything.

If you prefer to be in-person at our East Cobb, GA location, we are happy to accommodate your request.

On our appointments page, you can choose what type of visit you want — in-person or telehealth (using HIPAA compliant video).

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If we are not in-network with your insurance but your insurance tells you that you do have out-of-network benefits for Medical Nutrition Therapy, we can provide you with a “superbill” (a receipt with the needed codes for insurance) for the session.

Payment in full is due at the time of service if you need a superbill, and then you submit the superbill to your insurance for your possible reimbursement. You must request the superbill at the time of your nutrition session with Caitlin.

If you do not have insurance, you can pay for your sessions (and any co-pays) using a credit card or a health savings account (HSA).

We will let you know if you need a referral to see us. Most of our clients do not, unless they are Medicare clients.

If required, you can request a referral from your doctor and have it faxed to us at 404-924-7357. We must have the referral BEFORE the appointment in order for your visit to be covered.

We always need a referral for patients wishing us to bill Medicare.

Be sure to ALWAYS get a reference code from any representative you speak with at your insurance company. This helps to hold the insurance company accountable for information they provide on your call.

Without using insurance, our self-pay rate is $180 for the initial 60-90 minute consultation and $90 for 30-60 minute follow ups.

Verify your coverage here. 

For most insurance companies, we are considered specialists. Therefore, your specialist co-pay is applicable if the claim is not considered preventative.

We will submit the claim on your behalf. Once we receive your explanation of benefits (EOB) back from your insurance provider, we will invoice you for any patient responsibility.

Aetna
Most Aetna plans allow 10 “healthy diet counseling” sessions per 12 month period.

Most plans also allow for 26 sessions per 12 month period for obesity prevention or overweight PLUS a cardiovascular co-morbidity.

If you fall into these categories, please have your doctor fax over your medical records or a referral with these specific diagnosis codes.

Most Aetna plans also allow for unlimited sessions for pediatric patients up to 22 years old.

Cigna
Every plan is different, however a lot of the Cigna plans have a maximum of 3 visits for nutrition counseling or medical nutrition therapy (CPT codes 97802, 97803) per calendar year.

Most plans often have unlimited visits for preventative medicine counseling (CPT codes 99402,99403,99404).

Please note: Currently, we are not part of the HMO Connect plan. If you have this type of Cigna plan, we are considered out of network. Please check before your appointment if you have out of network benefits.

Blue Cross Blue Shield/Anthem
Some Anthem HMO plans require a referral to see a specialist (these are most often the Anthem Pathway X Guided Access plans). Please check the front of your card for a PCP’s name and phone number.

Often, the back of your card has the wording: “referral required to see specialist”. If your current PCP is not the one listed on the front of your card, please call the number on the back of your card to link your current PCP to your account.

Curative

We are an in-network provider.

United Healthcare
We are an in-network provider with most major UHC plans.

State Health Benefit Plan

These require a medical diagnosis to be submitted on the claim (instead of our typical Z71.3 for dietary counseling and surveillance). Since it is out of our scope of practice to diagnose medical conditions, we need documentation of any medical conditions prior to submitting your claim. This can be in the form of medical records or a referral.

UMR

Check if your United Healthcare insurance card has UMR on the front or back. They require a medical diagnosis to be submitted on the claim (instead of our typical Z71.3 for dietary counseling and surveillance).

Since it is out of our scope of practice to diagnose medical conditions, we need documentation of any medical conditions prior to submitting your claim. This can be in the form of medical records or a referral.

USHealth

Check if your United Healthcare insurance card has USHealth on the front of your card. Most of these plans do not cover our services. Please be sure to call to verify benefits for nutritional counseling.

Medicare
Medicare will ONLY cover nutrition counseling if you have a diagnosis of diabetes (NOT pre-diabetes) or chronic kidney disease (stages 3a, 4 or 5 ONLY).

We need a referral on file from a medical doctor in order submit a claim to Medicare. Other conditions will NOT be covered if Medicare is your only carrier.

THIS INCLUDES MEDICARE ADVANTAGE PLANS. IF YOU HAVE A MEDICARE ADVANTAGE PLAN AND DO NOT HAVE DIABETES OR CHRONIC KIDNEY DISEASE, YOU WILL NEED TO BE A CASH, SELF-PAY PATIENT.

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In the event your claim is denied for lack of nutrition coverage, our initial visits (60-90 minutes) are $180.00 and each follow-up visit (30-60 minutes) is $90.00. Caitlin Russell Nutrition accepts HSA/FSA cards and all major credit cards.

You are responsible for knowing and understanding your applicable insurance policies.

If you don’t see your insurance company listed as in-network for us, then we are considered OUT OF NETWORK.

If we are out of network for your insurance company, you would pay our self-pay rates at the time of service and we can provide a superbill you can submit to your insurance company for reimbursement. Just let us know if you need a superbill at the time of your appointment.

Self-Pay

Our self-pay rates are $180 for the Initial Consultation and $90 for follow ups.

Unfortunately, insurance does not cover the cost of MRT food sensitivity testing.

You can book a free call here to discuss payment options for the test.

Yes, we are in-network with Medicare.

Medicare will only cover your nutrition appointments with an in-network Medicare dietitian if you have diabetes (not pre-diabetes) or chronic kidney disease (stages 3a, 4 or 5).

And you must provide a referral from a medical doctor in order to see a dietitian and submit a claim to Medicare.

If you do not have diabetes or chronic kidney disease, but you have Medicare, you will have to pay cash rates for seeing a dietitian.

All other conditions (besides diabetes or chronic kidney disease) are not covered for seeing a dietitian if Medicare is your carrier. This includes Medicare Advantage Plans.

If you have a Medicare Advantage Plan, and do not have diabetes or chronic kidney disease, you will have to pay cash rates for nutrition appointments with a dietitian.

If you have Medicare plus a supplement, the supplement usually does not cover any nutrition visits, unfortunately.

Cash rates: $180 for 90 minute initial session; $90 for 30-60 minute follow up.

I am unable to give a superbill to Medicare patients for possible reimbursement.

Send us a message using the contact form in the footer of this webpage.

We do our best to reply to all messages within 2 business days (and usually much sooner).

Verify your nutrition coverage here.