Working with your health insurance

When you inquire about starting services at TLB Nutrition Therapy, you will be receive an insurance questionnaire.  The TLB Admin will be check benefits for you, but we also recommend you calling your insurance and checking benefits from member services.  This is to ensure that we both are receiving the most accurate quote of coverage. We cannot guarantee the coverage of your insurance benefits or reimbursement, but this questionnaire will help answer those questions

    • Blue Cross Blue Shield**

    • Aetna

    • Cigna

    • Sana

    • Superior/Ambetter Medicaid

    • Texas Medicaid

    • BCBS Chip, Star, Star Plus, Star Kids Medicaid

    This is subject to change at any time.

  • We are contracted with Blue Cross Blue Shield of Texas (BCBS of TX) and will be submitting into our local network. However, BCBS of TX will be communicating with your local plan to obtain coverage and if nutrition sessions are a covered benefit, then we will be considered in-network.  This can be discussed further in the intro call with the TLB staff. 

    • Is Christina Laboy NPI: 1669741187 currently an in-network-provider for my plan?  *Please note that if you are not planning to see “Tina” no worries - the other dietitians will be covered if the above NPI for “Christina Laboy” is covered (we are all under the same plan)

    • If not, what are my out-of-network benefits for outpatient nutrition counseling?

    • Does my plan cover the following CPT codes: 

      • S9470 code

      • 97803 code 

    • Does my plan cover the following ICD-10 codes:

      • F50.9 - Eating Disorders

      • Z71.3 - dietary counseling and surveillance

      • Z72.4 - inappropriate diet and eating habits

    • Does my plan cover Telehealth services for the above codes (S9470 and/or 97803)?

    There are many more questions that you can ask, but those are a few to start. 

    Please note: if you have a PPO plan and Aetna insurance we will be in-network.  If you have a HMO plan we will be out-of-network until there is a referral from your doctor.  We will assist you in obtaining this referral after the intro call with the TLB staff. 

  • You as the client have the right to request a "Good Faith Estimate" per the No Surprise Act. If you would like an estimate of your self pay services or out-of-network costs, you may request this from your dietitian. Please note that this is an estimate of services and may be an under or over-estimate of the total costs. This estimate is to ensure that you are not receiving any surprise costs. To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 368-1019.

    For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 368-1019.

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