My practice is in network with Aetna and Blue Cross Blue Shield (Highmark). If you would like to use your insurance and have a plan with one of these companies, your first step is to call the number on the back of your insurance card and ask:

1. Is Courtney Plush Nutrition LLC in my plan? (NPI: 1346601655, Tax ID: 88-0866286)

2. Does my plan cover outpatient nutrition counseling (CPT codes: 97802 and 97803)? If yes:

• How many how many sessions are allowed?

• Does my plan cover nutrition counseling as a preventive service (ICD10 code: Z71.3)?

• Does my plan cover nutrition counseling to treat medical conditions I have, like ______ (examples include: pre-diabetes, eating disorder, Type 1 or 2 diabetes, etc)?

• Does my plan cover telehealth for nutrition counseling (location code: 10)?

  • If yes, does my plan cover telehealth for providers located out of state? (skip if you live in PA)

• Do I have a deductible to meet first?

  • If yes, how much is my deductible?

  • How much of my deductible have I met so far?

• Do I have a copay or co-insurance for outpatient nutrition counseling?

• Do I need a physical referral or prior authorization? If one of these is required, you will need to provde documentation of your diagnosis from your medical provider or licensed mental health provider before our first session. Click here for a copy of my referral form.

3. Record the representative’s name and a reference # when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim.

Out-of-network and Self Pay

If you don’t have Aetna or BCBS, I am considered “out-of-network” and all fees are due at the time of service. The cost of the 90-minute initial assessment visit is $190 and 60 min follow up sessions are $160. I accept all major credit cards, in addition to PayPal and Venmo. I can also accept funds in an HSA or FSA account.

Some insurance plans will reimburse for nutrition counseling with an out-of-network registered dietitian, so upon request, I can provide you with a superbill for submission for reimbursement. If you would like superbills, I will need documentation from a provider (physician, physician’s assistant, nurse practitioner, licensed psychotherapist) of a nutrition-related medical or behavioral health diagnosis that includes the ICD 10 code(s) for the relevant diagnosis(es). This can be a visit summary or progress note from your provider (as long as the ICD 10 code is included) or a signed referral from your provider. Click here for a copy of my referral form. To find out if your plan will offer reimbursement for superbills, I recommend calling your insurance company and asking the following questions:

1. Does my plan cover out-of-network nutrition counseling with a registered dietitian?

2. If so, are these codes covered? 97802 (initial nutrition assessment), 97803 (nutrition follow up)

3. What diagnosis codes are covered? You can ask if preventative codes are covered, or you can ask if your particular diagnosis is covered (example, anorexia nervosa or type 2 diabetes).

Sliding Scale

I have a limited number of sliding scale opportunities available. These are reduced fee slots based on clients’ ability to pay per their current financial situation. Please contact me for more information.

Cancellation/”No-show” Policy

If your appointment is cancelled within 24 hours of the start time, or if you miss your scheduled appointment without notice (“no-show”), the full fee of the appointment will be charged. Exceptions are made in the case of an emergency.