Insurance Information

At the present time Lindsay is in network with Premera Blue Cross Blue Shield (all products including Lifewise, Regence, Asuris), United Healthcare (commercial plans only- not medicare), Cigna, Aetna, and all plans in the First Choice Health Network (Kaiser, Pacific Source, Providence Health Plan).  

However, that does not mean all insurance plans cover nutrition.  Therefore, you are required to call your insurance company prior to scheduling your visit to confirm your nutrition visits will be covered. Please follow the steps below ‘What questions should I ask when calling my insurance?’  

If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404. We also can bill for S9470 if it is covered on your policy. 

Will my diagnosis be covered?

• If the representative asks for a diagnosis code (aka ICD 10 code) – please tell them the visit is coded the ICD 10 code: Z71.3
• If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan. 
• If you are overweight, obese, have pre-diabetes, diabetes, IBS, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well. 
• We always code your visit using preventative coding (Z71.3 if applicable) to maximize the number of visits you receive from your insurance carrier. However, if you ONLY have a medical coverage (not preventative) and you have a medical diagnosis (for example: IBS, and you are not overweight or have CVD risk factors) your insurance may impose a cost-share for your visit either in the form of a deductible, co-pay or co-insurance. 

How many visits do I have per calendar year?

• Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.

Do I have a cost-share for my nutrition visit?

• A cost-share is the amount you will need to pay as required by your particular insurance plan towards your services. A cost-share can be in the form of a deductible, co-pay or co-insurance. 
• We will always bill under your insurance policy’s plan under your preventative benefits if your plan allows. With that being said, if you have preventative benefits there if often NO cost share for you associated with the visit. Once again, this is something YOU do want to ask prior to your visit. 
• In the event you have a  cost-share we will initially bill your insurance company directly.  Once we receive the EOB describing your responsibility as the patient, we will bill the credit card on file for the amount noted under ‘patient responsibility.
• For most insurance companies dietitians are considered a specialist. Therefore, your specialist co-pay is applicable and is payable at the time of service. This information is often apparent on the front of your actual insurance card. However, often because we bill your insurance with preventative counseling the co-pay is often not applicable.
• We generally wait for the claim to be processed to determine whether or not you have a co-pay and then charge the credit card you have on file with us the co-pay amount. 

Summary of questions to ask to verify your nutrition benefits

• Do I have coverage for medical nutrition therapy?
• Do I need a referral to see a Registered Dietitian?
• Are my diagnoses covered on my particular plan?
• How many visits per calendar year do I receive?
• Do I have a cost-share for these services?
• Is there an associated cost for me if I choose to have the appointment as a telehealth visit versus in person visit?

Do I need a referral?

If you have verified you do have nutrition benefits for your appointments- please call your primary care provider to request a referral for medical nutrition therapy. While it is not always required by your insurance, it is often best practice to do so. This referral is minimal, such as simply verifying your height, weight, and BMI via a chart note. If you have any diagnoses (overweight, obesity, diabetes, high blood pressure, etc.) please have that included on the form. 

This referral can be faxed to Lindsay Henley LLC at: 509-606-0440 or submitted electronically via the electronic HIPPA compliant form here

 If you have any questions after verifying your benefits we are happy to help. Please email Lindsay at lindsayhenleywellness@gmail.com 

She will return your message within 48 business hours.  

 Most insurances are covering for telehealth services. Therefore, when you schedule your visit you will be directed towards the next steps to setting up properly for your telehealth session. However, it is possible your insurance plan may impose a cost-share for you to use this service. Please call your insurance company to confirm your telehealth coverage PRIOR to scheduling your visit. 

With that being said, if you prefer to be in-person at our Newport, WA Office we are happy to accommodate your request.  

In the event, your claim is denied for lack of nutrition coverage or you find out when verifying you do not have coverage Lindsay's rates are $150/hour. 

Initial visits can run from 75-90 minutes which would be $187.50-$225.00 and each follow-up visit (30-45 minutes) is $75.00-$112.50. 

Lindsay Henley LLC accepts cash, check, HSA/FSA cards and all major credit cards.  

We also offer some awesome programs at cash rates as well!

The rates below are for single appointments that have been packaged together at a discounted cash rate for those who opt out of billing insurance or who find out their insurance does not cover and want to purchase multiple sessions up front for a discount.