Our commercial managed care members
have benefits for up to six fully covered nutrition counseling visits per year
and for medically necessary diabetic education. Currently, a referral is
required for HMO members to use these benefits.
Effective December 1, 2011, however, HMO
members will no longer need a referral for these services. This change is an
effort to make it easier for all of our members to use their nutrition
counseling and diabetic education benefits.
For all members, copayments do not apply when
using an in-network provider for these nutritional counseling services. HMO
members must use an in-network provider to take advantage of these benefits;
PPO and POS members may use an out-of-network provider subject to applicable
deductibles and coinsurance.
In order to schedule an appointment for nutrition
counseling, members should contact their primary physician or a participating
registered dietitian. To locate a network provider, members can log on to
amerihealthexpress.com or call Customer Service at 1-800-275-2583.
Note: Only certain providers (i.e., primary
care physicians or registered dietitians) are eligible to provide nutrition
counseling services. Appointments with nutritionists are not a covered
benefit.