Gwen Johnson, RD, LDN
Registered Dietitian Nutritionist
(Harvard Pilgrim Affiliated Plans)
Guide to Using Your Insurance Benefits
Verifying Benefits: While most insurance plans will cover nutritional counseling/medical nutrition therapy sessions, please call your insurance to find out if it is a covered benefit under your specific plan before your first session. Also, verify how many sessions are allowed per year, if Telehealth is a covered with your plan, and check if you are required to pay any copays. The following guide should be used when verifying your benefits to ensure you get the information needed:
Referrals: If your insurance requires a referral, please request one from your physician before your first appointment. Referrals can be faxed to (978) 268-5210, uploaded in the secure client portal, or mailed to the address listed in the Contacts tab. The following referral form can be utilized:
Out-of-Network: If your insurance plan is not listed above and your policy allows, you can receive Out-of-Network Services. After your session(s), you will be given a "Superbill" of dates, services provided, and fees paid, that you can submit to your insurance for reimbursement.
Payments: For copays, deductibles, and or co-insurances, the following methods of payment are available: Credit Card, Debit Card or HSA / FSA cards.
Medicare Plans: Medicare and Medicare Advantage Plans will cover Medical Nutrition Therapy sessions if you have a diagnosis of diabetes or kidney disease. A referral from your physician is always required for Medicare clients.
Please note: All Harvard Pilgrim Health Care (PPO and HMO) clients are required to get a written physician order before services begin.
If your specific health insurance plan does not cover nutrition counseling, please email for private pay information.