Insurance & Coverage Options
We want to make nutrition counseling accessible to you.
Braxton Balanced Nutrition is in-network with Aetna, allowing eligible clients to utilize insurance benefits toward nutrition counseling services.
This page will guide you through how to verify your coverage and what to expect before getting started.
How Insurance Works
Coverage for nutrition counseling varies based on your specific plan. Some clients may have full or partial coverage, while others may have copays, coinsurance, or deductible requirements.
Because every plan is different, benefits must be verified directly with your insurance provider before your first appointment.
How to Verify Your Coverage
Taking a few minutes to understand your insurance coverage, including how many visits may be included, can help you avoid surprises and feel confident moving forward. While we’re always here to help, we recommend verifying your benefits directly with your insurance provider.
Step 1: Call Your Insurance Provider
Use the number on the back of your insurance card and ask about your outpatient nutrition counseling benefits with an in-network registered dietitian.
Step 2: Ask These Questions
- Do I have coverage for nutrition counseling under CPT codes: 97802, 97803, and 97804?
- Do I need a referral or prior authorization?
- Are telehealth visits covered?
- How many visits are allowed per year? And are there any session caps?
- Does my deductible apply? And has it been met?
- Do I have a copay or coinsurance?
- Are there diagnosis restrictions for coverage?
- Are the diagnosis codes Z71.3 covered for preventative services?
- Does my plan cover visits for any of the other following diagnosis codes (Z13.89, E66.3, E66.9, E11.9, E78.5, I10, Z83.49, Z83.3)
- Is my provider in-network?
Step 3: Provide This Information
- Provider: Rachel Braxton, MHS, RD, LDN
- Practice: Braxton Balanced Nutrition, LLC
- Your policy number
- Your date of birth
- Your address
- The diagnosis codes for which you need coverage
When calling your insurance company, have this information ready:
Important Notes
- Insurance benefits vary by plan.
- Verification does not guarantee payment or coverage.
- You are responsible for any costs not covered by insurance.
- Referrals/authorizations must be completed before your visit, if required.
Insurance & Coverage FAQs
Do you accept insurance?
Yes. Braxton Balanced Nutrition is in-network with Aetna. Eligible clients may be able to use insurance benefits for nutrition counseling services.
How do I verify my coverage?
Call the number on the back of your insurance card and ask about outpatient nutrition counseling coverage with an in-network registered dietitian. Follow the steps outlined above for guidance.
Will you help me understand my benefits?
Yes. If you’re unsure how to interpret your coverage, we’re happy to help you understand your benefits and next steps. Clients are still responsible for confirming details with their insurance provider, but we are here to support you if needed.
What should I ask my insurance provider?
Please refer to the “How to Verify Your Coverage” section above for a complete list of questions.
What if my plan doesn’t cover nutrition counseling?
If your insurance does not include coverage, private pay options are available so you can still receive individualized nutrition support.
What are CPT and Diagnosis Codes?
CPT Codes (billing codes for services):
These identify the type of service being billed to your insurance:
- 97802: Initial nutrition assessment and counseling (first session)
- 97803: Follow-up counseling (subsequent sessions)
- 97804: Group nutrition counseling sessions
Diagnosis Codes (medical reasons for care):
These explain the reason for the service:
- Z71.3: Preventive nutrition counseling
- Z13.89: Encounter for screening for other disorders
- E66.3 / E66.9: Overweight / Obesity
- E11.9: Type 2 Diabetes
- E78.5: Hyperlipidemia (high cholesterol)
- I10: Hypertension
- Z83.49 / Z83.3: Family history of certain metabolic or cardiovascular conditions
Tip: Providing these codes to your insurance company helps ensure more accurate benefit verification.