Enhanced 80/20 and Consumer-Directed Health Plan Members:
Adult and child (age 6+) obesity services are included under the Affordable Care Act’s preventive services, meaning that they are covered at 100% for Enhanced 80/20 and Consumer-Directed Health Plan members. These services can be delivered in in-network* office, urgent care, or outpatient facility settings and include:
- Nutritional Counseling, which may include counseling specific to achieving or maintaining a healthy weight
- Obesity Screening
- Behavioral Intervention
Traditional 70/30 Members:
In-network* nutritional counseling visits for members with diabetes are covered at 100% for the first 6 visits. After the 6th visit, members will pay 30% after the deductible.
In-network* nutritional counseling visits related to any other condition are limited to a combined in- and out-of-network maximum of 4 visits per benefit period for a $40 copayment per visit.
*For out-of-network costs associated with these services, please see your plan’s benefit booklet.
To find an in-network dietitian, use our Find a Doctor tool and search under "Specialist" for a licensed dietitian/nutritionist.