How To Get Your Visits Covered By Insurance in Ontario

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I work privately, which allows me to offer premium services, but they are not eligible for OHIP coverage. My services can be paid for out of pocket or by private insurance coverage.

To check if you have coverage please call your insurance company and ask if you are covered for “dietitian services” or check the app for dietitian services found under paramedical services section.

OR

You may also have soemthing called a “health spending account” which can be used for a variety of health services including personal trainers and dietitians.

Most private insurance companies offer packages that cover dietitian services but if you hjave coverage will depend on the package purchased by your employer. Please call your insurance company or check their app to verifiy if you have coverage.

If you do not have coverage you can still access the services I provide but you will need to pay out of pocket.

You will recieve a recipt after each appointment which you will pay. Then you will download the recipt after it is paid and send it to your insruance company who will reimbuirse you for the services provided.

If you buy a package of services you will need to pay the sum in full then you will recieve a recipt after each appointment which you can submit to your insurance.

Only your 1-1 dietitian appointments will be covered by your insurance.

If you purchase any additional services like priority messaging access, weekly check-ins, personal training, meal plans, courses, e-books, recipe packs, or supplements these will not be covered by your insurance.

Questions to Ask Your Insurance Company

If you need insurance coverage, please check your app or call the company to verify these questions to avoid any unwanted surprises after your visit.

Do I have coverage for a registered dietitian?

This will let you know with certainty if you have coverage at all. If the answer is no to this, skip to the last question.

What is my annual coverage?

Assuming you have coverage, there will be a dollar amount you can spend in a year. Any extra money spent will be an out-of-pocket cost, even if it’s just $1 more.

When does my plan reset?

Most plans reset on December 31st, meaning that if you spent all of your coverage for the year on January 1st, you will have access to more coverage.

Do you cover 100% of the session cost?

Not all insurance companies cover 100% of the appointment cost. Some will cover a portion of the total cost, then the rest will be an out-of-pocket cost for you.

Are there limits for coverage on the initial session and follow-up visits?

Some plans will cover a dollar amount per visit instead of reimbursing the full appointment cost. For example, they may cover up to $150 for an initial visit and $75 for a follow-up visit. Any additional cost will be an out-of-pocket cost for you.

Do I have a health spending account?

Many companies, organizations, and institutions offer health spending accounts to their employees. Please check with your workplace to see if you have a health spending account.

Health spending accounts offer reimbursements for a variety of health-related expenses, including nutritionists and dietitians.

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