frequently asked questions
Do you accept health insurance?
Yes, LG Nutrition is in-network with the following health insurances.
Aetna PPO plans
State Health Plan of North Carolina [administered through Aetna}
Blue Cross Blue Shield PPO plans
OUT OF NETWORK with Blue Local and Blue Home UNC Health Alliance.
Blue Cross Blue Shield Federal Employee Plan
First Health Plan
Cigna Open Access Plan, Duke Options [DUKE SELECT IS NOT IN NETWORK]
Medicare (only covers for diabetes or renal disease with MD documentation and referral; no other diagnoses are covered by Medicare) Review Medicare policy.
Our practice is out of network with Duke Select through Cigna, United Healthcare, Blue Home/Local, Humana, UMR, Ambetter, TriCare and Medicaid.
If you have in-network insurance, your claim will be electronically filed on your behalf by our practice. If you have out of network insurance or Medicare with a non-covered diagnosis, you will be considered a self-pay client. We can provide a detailed superbill for insurance filing purposes, at your request.
Please check with your provider for specific nutrition benefits. Being in network does not always mean that your visit is covered in full. Co-pays, co-insurance and deductibles may apply. In order for insurance to be filed, you must upload a current copy of your insurance as part of your new client intake form.
How do I find out what nutrition benefits my insurance plan provides?
When you call your insurance company to inquire about benefits for nutrition therapy, ask about coverage for CPT codes 97802 and 97803. Ask if there are any diagnostic limitations. For example, some insurance covers nutrition counseling only for specific diagnoses such as diabetes or obesity. Ask if there are a certain number of allowed visits per year. Some services like nutrition cousneling are considered preventative and are not subject to deductible, while others will be applied against deductible. If it is applied against deductible, you will be responsible for the cost until you have met your deductible. You can also ask if there is a co-pay or co-insurance.
Do you offer virtual visits?
Yes, as of 2020, our practice is 100% virtual. Sessions are conducted via tele-health which can be video or phone.
Can you see clients located in states outside of North Carolina?
Yes, in addition to North Carolina, clients located in California, Colorado, Virginia, Michigan and Arizona can also be seen by the dietitian.
What forms of payment are accepted?
All major credit cards are accepted. FSA/HSA cards are generally accepted; however, a secondary payment method must be on file in case of insufficient funds.
Do I need a referral from my doctor to see you?
No, Medicare is the only insurance that currently requires a physician’s referral. Please note that Medicare only covers nutrition counseling if you have a physician documented diagnosis of diabetes or renal disease. Pre-diabetes is not a covered diagnosis. No other diagnoses are covered at this time even with a doctor’s referral. This is a Medicare policy and not a provider limitation. For other types of insurance or self-pay clients, a referral is not required but still welcomed from your provider. Referrals can be faxed to 1 (855) 714-4258.
How many visits will I need?
This varies from person to person. The number of visits is determined by the complexity of the client's health history as well as the goals of the visits. There is no minimum number of visits required. Some insurance companies limit the number of visits annually.
Can another person attend my session with me?
Yes, in most cases, this is welcomed with the permission of the client and dietitian. The individual attending should understand that their presence is for the support of the client and to provide educational information as a caregiver or support person.
Will you coordinate care with my provider?
We can provide nutrition progress notes to your referring provider or other requested health professionals with your signed release.
Is there a fee for missed or cancelled appointments?
Missed appointments or those cancelled less than 24 hours prior to the scheduled appointment time will be charged a fee.
What are the benefits of meeting with a dietitian?
Dietitians are experts in the field of nutrition and has received advanced education that is science based. LG Nutrition provides a personalized approach to every client meeting so that no two clients have the same plan. Your recommendations are based off of your health history, preferences, lifestyle and health goals.
