Insurance Coverage at Vital Nutrition

Yes—we accept insurance!

You may be wondering if your health insurance covers visits with a Dietitian on our team. The great news: most insurance companies cover nutritional counseling, especially for disease management like diabetes, kidney disease, or weight-related conditions. However, Florida has unique rules for commercial insurance, so we strongly recommend verifying your coverage before booking.

Most of our clients pay $0 out of pocket, but if your insurance does not cover the visit, our self-pay rates are:

  • Initial Assessment: $200

  • Follow-up Appointment: $100

Insurance Plans That Do Not Cover Nutrition Counseling

Unfortunately, the following plans do not cover our services:

  • Aetna BetterHealth

  • Humana Healthy Horizons

In-Network Insurance Plans

We are currently in-network with the following providers:

  • Aetna – Medicare** and Commercial

  • Meritain

  • Allegiance

  • Ambetter – Silver and Above

  • Curative - We can see patients in Florida, Georgia, and Texas

  • Cigna – Commercial

  • Blue Cross Blue Shield – Telehealth only

  • UnitedHealthcare Community Plan

  • UnitedHealthcare – Commercial and Medicare (contract pending)

  • Devoted Health Medicare

  • Humana Medicare

  • Sunshine Medicaid

  • WellCare Medicare

  • Freedom & Ultimate Health Medicare

  • Multiplan

  • If you don’t see a plan listed, please let us know!

Telehealth vs. In-Person: Some insurance plans, such as Blue Cross Blue Shield, cover telehealth visits only for our practice. Please confirm with your insurance if telehealth or in-person sessions are covered.

**Medicare Requires a Physician Referral

For Medicare, a referral from your doctor is required with a qualifying diagnosis:

  • Diabetes: E11 or greater

  • Chronic Kidney Disease (CKD): Stage 3A or greater (N18.3 or greater)

Fax referrals to: 352-352-9390
TAX ID: 93-246846 | NPI: 1477330603

Tip: Medicare and some commercial plans may also require pre-authorization before your visit. Check with your provider before scheduling.

How to Verify Your Insurance Coverage

It is your responsibility to confirm coverage before scheduling. While we do our best to verify benefits, you are responsible for any charges not covered by your insurance.

Steps to check coverage:

  1. Call the customer service number on the back of your insurance card.

  2. Ask: “Do I have coverage for nutritional counseling with a registered dietitian?”

  3. If asked for CPT codes, provide:

    • Primary: 97802 (Initial Assessment) or 97803 (Follow-up Visit)

    • Alternate: 99401, 99402, 99403, 99404, or S9470

  4. If asked for a diagnosis code (ICD-10), provide:

    • Primary: Z71.3 (Dietary Counseling)

    • Alternate: Z72.4

Conditions that often qualify for coverage:

  • Overweight or obesity

  • Pre-diabetes or diabetes

  • Hypertension

  • High cholesterol

  • CKD Stage 3+

Preventive vs. Disease Management: Visits for general healthy eating may not always be covered. Disease-specific nutrition counseling usually has higher coverage.

Important Notes:

  • Some diagnoses (e.g., IBS without overweight/obesity) may require a deductible, copay, or coinsurance.

  • Insurance plans may limit the number of covered visits per year (typically 1–3).

  • Coverage rules vary by plan; always confirm before booking.

Need Help?

If you have questions about your coverage, we’re happy to help! You can:

  • Call or text us at: 352-462-3602

  • Email us at: Info@TheVitalRD.com

We want to make your nutrition journey simple and accessible. 😊