We accept most insurance plans, with 95% of our clients paying $0!
***Now accepting United Healthcare***
We have listed some information below based on our knowledge and experience. However, since you are ultimately responsible for payment, we highly recommend you call the number on the back of your insurance card and ask these specific questions.
Aetna / Meritain
Aetna limits visits to 55 minutes, however our initial visits are standardly 85 minutes. Let us know if you'd like to self-pay for the extra time or keep the initial visit to what Aetna allows.
PPO plans: No referral required. Typically cover 10 nutrition visits as a Preventive benefit (meaning no cost to you), and an additional 16 for people who are "overweight" or "obese" (BMI 25+). Aetna also covers nutrition counseling as a Medical benefit for many other conditions, but deductible/copay/coinsurance may apply. For Medical coverage, we often need to received diagnosis codes from your physician. Note that Aetna does NOT cover ADHD, asthma, or chronic fatigue.
EPO plans: We may be considered out-of network
Medicare Advantage plans: Same benefits as regular Medicare Part B. A physician's referral with a diagnosis of diabetes or chronic kidney disease is required, with another referral after the first 2 or 3 hours of care. Clients without a referral or covered diagnosis must self-pay at the time of service.
Self-funded plans, including unions and trusts, can have more limited coverage... please be sure to check your benefits in advance for these plans.
We are considered in-network for out-of-state BCBS PPO plans, such as BCBS Federal, Anthem, BCBS of Illinois, CareFirst, and many more.
BCBS plans generally cover nutrition visits in full as preventive, no referral required, however there are countless different plans throughout the country and they each have their nuances.
While we always recommend calling your insurance to check benefits for nutrition counseling, it is especially important with these plans since we are less familiar with them.
If your plan only covers certain diagnoses, ensure your doctor sends us documentation of them so that we may use them to bill.
CIGNA
At least 3 preventive visits are covered in full each year, with many plans covering unlimited.
Additional visits are typically covered for eating disorders and diabetes. If this applies to you, please have your doctor fax the appropriate ICD-10 diagnosis code(s) to us at 206-866-0204 so that we may use it for billing.
Most plans cover visits in full, meaning no cost to you.
KAISER PERMANENTE - Referral + authorization required for HMO planS
Options PPO Plans: No referral required. Visits are typically covered in full with no cost to you.
Core HMO Plans: Pre-authorization is always required. Visits are usually covered in full but some plans have a small copay (i.e. $10). Kaiser authorizes 6 visits initially with re-authorization required for additional visits. Authorizations expire after 6-12 months. Although we will help request authorizations as needed, it is ultimately your responsibility to ensure proper authorization has been obtained prior to any scheduled appointments. ***If we don't have a current authorization on file, clients must self-pay at the time of service and we will not bill Kaiser.
Medicare Advantage Plans: These cover most diagnoses as long as pre-authorized. We are in-network with most plans except for their Anchor Med Adv Plan.
Self-funded plans, including unions and trusts, can have more limited coverage... please be sure to check your benefits in advance for these plans.
MEDICARE - Referral for dm or ckd required
MEDICARE PART B
Nutrition therapy is covered in full with no cost to you, however ONLY with a diagnosis of diabetes, kidney disease (pre-dialysis CKD), or 36 months post kidney transplant. Medicare does not cover pre-diabetes or any other diagnoses.
A referral from your Medicare doctor (MD or DO) is always required, and a new referral must be obtained each calendar year. Have your doctor's office fax it to us at (206) 866-0204.
Medicare initially allows 3 hours the first calendar year you receive nutrition therapy whether it was provided by us, another dietitian or a combination of both. Subsequent calendar years they cover 2 hours. However, additional unlimited visits are covered when there is a change in your condition and your doctor sends us a second referral in the same calendar year.
MEDICARE ADVANTAGE PLANS (a.k.a. Medicare Part C)...
These are Medicare plans administered by insurance companies. We bill the insurance company, not Medicare.
Often the same coverage and requirements as Medicare Part B, but some do cover additional diagnoses.
Kaiser Medicare Advantage plans - These plans cover most diagnoses as long as pre-authorized. We should be in-network with all plans except Anchor Med Adv.
Aetna Medicare Advantage plans- Standard Medicare coverage & requirements apply.
Regence Medicare Advantage plans- Standard Medicare coverage & requirements apply.
MEDICARE SUPPLEMENT PLANS (a.k.a. MediGap)...
These plans don't provide any extra coverage for nutrition therapy. If Medicare part B won't cover it, a Medicare Supplement won't either. These plans only help cover copays, which don't apply to nutrition therapy anyway.
PREMERA / LIFEWISE
PPO plans: No referral required. Nutrition visits are almost always covered in full with no cost to you.
EPO plans: EPO plans may consider us "out of network" and either not cover services at all or apply visits to your deductible.
HMO plans: Referral required.
Self-funded plans, including unions and trusts, can have more limited coverage... please be sure to check your benefits in advance for these plans.
REGENCE / UNIFORM / HMA / RGA
PPO plans: No referral required. Nutrition visits are almost always covered in full with no cost to you. Visit limits (such as 3 or 12 per lifetime) typically do not apply to preventive nutrition counseling or for diagnoses of diabetes or eating disorders.
EPO plans: We are in-network with the UMP Plus Puget Sound High Value Network (PSHVN) and UMP Plus UW Medicine Accountable Care Network (UW Medicine ACN), and coverage is the same as with PPO plans. We are out-of-network with other EPO plans.
HMO plans: Referral required.
Medicare Advantage plans (HMO and PPO): Same benefits as regular Medicare Part B. A physician's referral with a diagnosis of diabetes or chronic kidney disease is required, with another referral after the first 2 or 3 hours of care. Clients without a referral or covered diagnosis must self-pay at the time of service.
We are out-of-network with the Blue High Performance Network.
Self-funded plans, including unions and trusts, can have more limited coverage... please be sure to check your benefits in advance for these plans.
United healthcare / UMR
We are newly contracted with UHC as of 4/18/2025!
No referral required, however we often need to diagnosis codes from your physician in order to maximize your coverage and reduce your cost. Please have your doctor fax those to us at 206-866-0204. Alternatively, if you can download your medical record from your doctor's portal and send to us, that should work! All ICD-10 diagnosis codes are helpful, but especially ones included on their preventive policy below.
"Overweight" or "Obesity" (adult BMI 25+ or pediatric BMI of 120%+ of the 95th percentile for age)
Hyperlipidemia or dyslipidemia
Hypertension
Atherosclerosis
Family history of ischemic heart disease (IHD)
Diabetes, pre-diabetes, or impaired fasting glucose
Metabolic syndrome
Pregnant individuals
Nicotine dependence or tobacco use
Other conditions are typically covered under the medical side of the policy so may be subject to deductible/copay/coinsurance.
RATES: If you are utilizing in-network insurance to pay for services, the allowed rate is determined by your insurance company. After processing the claim, they will send both you and us an "Explanation of Benefits" which tells us how much (if any) of the fee is your responsibility.
If paying at the time of service and not using insurance, our rates are:
Initial Nutrition Appointment, up to 85 minutes: $260 With proof of active Medicaid enrollment: $160
Follow-Up Nutrition Counseling, up to 55 minutes: $160 With proof of active Medicaid enrollment: $110
Cut to the Chase Food Sensitivity Program (MRT+LEAP): Book a mini consult call to discuss MRT+LEAP is only available to clients enrolled in our 12 week all inclusive food sensitivity program. A portion of the program can be billed to insurance and a portion cannot. Your cost will vary depending on your insurance coverage.
No Show & Late Cancellation (<48 hours notice) Fee: $100 For late cancellations only, we will waive the fee if we are able to reschedule you for the same Mon-Fri week and you complete that appointment.
PAYMENT: A valid credit/debit card on file is required and will be used for self-pay fees, amounts insurance tells us are your responsibility (i.e. copays, deductibles, and non-covered services), and in case of late cancel or no show. You may also keep a HSA/FSA card on file for eligible transactions. Any refunds issued will be less the card processing fees we have incurred.
