Open Heart Healing is an In-Network Provider

for the following companies:


Aetna

American Specialty Health

Child Health Plus- NY
Cigna
Emblem Health = GHI = HIP CBP plan

Empire Blue Cross/Blue Shield
Empire Plan Network (NYSHIP)

​HealthFirst

Healthy New York (HMO & Pathway plans)

Humana

Magnacare
Medicare - covers 2 diagnoses only: Diabetes and Non-Dialysis Kidney Disease

Multiplan-PHCS-PHCS Savility
Oscar

Oxford "Freedom" Plan
United Healthcare = Freedom Plan, Community Health Plan, W500, and numerous others

1199 SEIU

and several more!


Steps to take prior to scheduling an appointment :


Call the member services number on the back of your card.


Questions to ask:

  1. Does my plan cover outpatient nutrition counseling in a dietitian's office? (Procedure Code 97802)
  2. If yes, how many sessions are allowed for follow-up visits for my diagnosis? Call Sasha for your diagnosis code. (Procedure code 97803)
  3. Is your diagnosis covered? Sometimes only "medically necessary" visits are covered. For example, ask if you are covered for "weight loss" or "diabetes" or "hypertension."
  4. Do I have a deductible to meet first? if "Yes", how much is it?
  5. Do I need a physician referral?
  6. What is my co-pay amount for outpatient nutrition counseling? You may be eliigible for MNT at no out of pocket cost.
  7.  Ask "Do I have any benefit for Out of Network Dietitians?"
  8. Note the date and time of your call. Ask for a "reference number" for your call.


I look forward to meeting you!   Please arrive on time. To ensure the privacy of all clients,

if you arrive before the time scheduled, please stroll the lovely town of Point Lookout.



516-263-0732
33 Lido Blvd
Point Lookout, NY 11569
mail to: info@openhearthealing.org

Insurance Coverage

Health insurance companies may or may not offer coverage

for Medical Nutrition Therapy, (MNT), so you should investigate

the type of coverage you possess with care.


Each individual plan has different benefits and/or stipulations, so check with your insurance company to find out exactly what your plan will provide.


Although you may have insurance that will reimburse you, please understand that it is your responsibility to pay for your visit at the time of your appointment if I am an out-of-network Provider.

Open Heart Healing