Packages & pricing

Superbills and insurance

I don’t contract with insurance companies, so you pay at the time of service. After each visit, you can download a superbill from the client portal. A superbill is an itemized receipt with the standard codes insurance companies use for medical nutrition therapy. You can submit it to your insurance for possible out-of-network reimbursement.

What to know before you count on reimbursement:

• Coverage varies a lot. Some plans reimburse part of the cost, and some reimburse nothing. Many plans require a diagnosis code and a referral from your child’s physician.
• Call your plan first. Ask whether they cover out-of-network medical nutrition therapy (CPT codes 97802 and 97803) by telehealth, and whether they need a physician referral.
• Some things aren’t billable. Messaging, recipe development, and care-coordination letters are not billable to insurance. Package superbills list only the visits themselves, with one line per visit date.
• I can’t guarantee reimbursement, and you’re responsible for the full fee either way.

HSA and FSA

You can usually pay with a Health Savings Account (HSA) or Flexible Spending Account (FSA) card. Some plans ask for a letter of medical necessity. I can give you a template letter for your child’s physician to review and sign.

Policies

• Cancellations. Please cancel or reschedule at least 24 hours ahead. [POLICY: late-cancellation and no-show fee — Mariana to set]
• Package expiration. Package visits must be used within [POLICY: e.g., 4 months — Mariana to confirm] of purchase.
• Refunds. [POLICY: refunds for unused package visits — Mariana to set]
• Messaging. Secure messages are answered within 1 business day. Messaging is not for urgent issues.
• Location. You and your child must be in Texas at the time of each visit.
• Emergencies. Visits and messaging are not for urgent problems such as a dislodged tube or signs of dehydration. Contact your child’s medical team or call 911.