FSA
After paying for your appointment, you can submit your receipt to get reimbursed through your FSA.
Out-of-network Reimbursement
- After your appointment, I can provide you a “Superbill” to provide to your insurance.
- Fill Out an Out-of-Network Claim Form through your insurance
- Most insurance providers have a specific form for members to submit claims for out-of-network reimbursement.
- You can typically find this form on your insurer’s official website via their member portal or by calling their customer service number. The form will ask for your personal information, insurance policy details, and information about the services rendered (which you can pull from the superbill).
- Step 3: Submit the Forms
- Send both the completed claim form and the superbill to your insurance company. This can usually be done:
- Through your insurer’s online member portal (often via an upload feature)
- By mail to the address specified on the form or your insurance card
Important Considerations
- Verify Coverage: Before your appointment, it is crucial to call your insurance company and confirm if your plan offers out-of-network MNT (medical nutrition therapy) benefits and what percentage they reimburse.
- Deductible: Reimbursement often only begins after you have met your out-of-network deductible.
- Documentation: Keep copies of all documentation, including the superbill, the claim form, and any correspondence with your insurer.
- Follow-Up: It may take several weeks for the claim to process. Be proactive and follow up with your insurance company if you haven’t received an Explanation of Benefits (EOB) or reimbursement within a few weeks.
- Medicare: If you have Medicare, it covers MNT only for specific conditions (diabetes, renal disease, and post-kidney transplant).
