Dietitian Insurance 
Eligibility Questions
The steps and questions below are intended to guide you through 
asking your insurance carrier about your eligibility for dietitian visits. 
- Call the customer service phone number on your card. 
- Give them your group ID number and verify your information. 
- Ask what coverage you have for dietitian visits. Here’s some specific questions to ask, if they don’t tell you: 
A. What are the maximum number of dietitian visits that I can have?_____________________
B. What is the timeframe I have for the dietitian visit/s? More specifically, is it covered until the first of the year or per contract date? _____________________________________________
If it is by contract date, ask when your contract expires. _____________________________________________
C. Do the dietitian visits all have to be in-person? Yes No
D. Is there coverage for telehealth visits? Yes No
E. Can visits be preventive and/or medical? _____________________________________________
F. If they ask for a “procedure or CPT code”, say: 97802, 97803 and S9470
G. Is there a copay? Yes No Other _____________________________________________
H. If you have a high deductible plan:
- Is this dietitian in or out-of-network? ________________________________________ 
- If in-network, what is the in-network deductible that you need to reach to receive coverage for dietitian visits? ________________________________________ 
- If out-of-network, what is the out-network deductible that you need to reach to receive coverage for dietitian visits? ________________________________________ 
- How much have you currently met towards the deductible? ________________________________________ 
I. What is the reference number for this call? _______________________________________
J. What is the name of the customer service representative? _____________________________

