➕Benefit Checks for Additional Sessions
👉 This section covers:
Requesting Additional Sessions
Most patients have preventive MNT coverage with Berry Street. If a plan lacks this coverage or has limits, Berry Street can conduct a more detailed benefit check for MNT services. Please reach out to request an additional benefit check at [email protected] with the patient ID and any relevant information or Dx. See Requesting Additional Covered Visits for more information.
Preventive vs. Medical Coverage
Preventive coverage aims to keep people healthy and catch issues early, while medical coverage addresses illnesses or conditions after they arise. Using both together helps maintain health and manage costs.
Preventive Coverage:
Focuses on prevention and early detection
Includes screenings, immunizations, wellness visits, counseling, and MNT
Usually low or no cost under ACA-compliant plans when in-network
Medical Coverage:
Treats existing conditions and injuries
Covers doctor visits, hospital care, chronic condition treatment, and prescriptions
Typically involves co-pays, deductibles, and cost-sharing
Preventive care reduces the need for costly treatments, while medical coverage ensures care when health issues occur.
MNT Medical Coverage: Diagnosis-Specific
Medical Nutrition Therapy with an RDN/CNS is typically covered under medical benefits only for certain diagnoses, depending on the health plan, provider, and region. Coverage requires medical necessity—therapy must manage, treat, or prevent complications of a diagnosed condition.
Not Typically Covered
Mental health diagnoses: GAD, depression, ADHD, bipolar, substance abuse
Sports nutrition for performance
Food sensitivities/intolerances unless tied to conditions like celiac or IBS
Disordered eating without a formal eating disorder diagnosis
Hormonal imbalances, asthma, bloating, gout, sleep apnea, endometriosis, arthritis
Typically Covered
Chronic diseases: diabetes/prediabetes, CKD, obesity/overweight, CVD, hypertension, hyperlipidemia
Digestive disorders: IBS, Crohn's, IBD
Eating disorders (with diagnosis)
Pregnancy complications, gestational diabetes
Cancer
Additional chronic diseases as verified
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