Nutritional Counseling Insurance Benefits Questionnaire

Please plan on asking your insurance company the following questions. To download as a PDF click here.

1. Do I have coverage for Nutritional Counseling, insurance codes: 97803 and 97802?

2. Do these services require a referral from a physician?

3. How many sessions per year or lifetime do I have?

4. Are these sessions subject to my deductible?

5. If so, my deductible is: $______________.

6. Do these services have a co-pay? If so, my co-pay amount is: ___________.

7. Is McKenzie Zajonc, MS, CN, LHMC an in-network provider or these services?

8. Does my insurance plan cover video appointments procedure code: 97802, modifier code: GT? (Insurance language for initial appointment using video)

9. Does my insurance plan cover video appointments procedure code: 97803, modifier code: GT? (Insurance language for a follow up appointment using video)

I have contacted my insurance company and to the best to my knowledge the above information is true regarding my Nutritional Counseling coverage.