🌞 Insurance & Coverage

At Sunny Side Nutrition & Wellness, I believe everyone deserves access to quality nutrition care. I’m continuously expanding my insurance partnerships — check back often as new plans are added!

Below you’ll find details about my current accepted insurance plans and self-pay options.

💛 UnitedHealthcare

In-Network Provider
UnitedHealthcare frequently offers strong coverage for nutrition counseling and preventive care.

  • Many plans allow 12–24 visits per year

  • Visits are often low-cost or fully covered, depending on plan type

  • Some plans require a referral🟢 TennCare – Wellpoint

In-Network Provider
TennCare (Wellpoint) covers nutrition counseling for eligible diagnoses, which may include:

  • Diabetes

  • Obesity and weight-related conditions

  • Other medical conditions requiring nutrition intervention

Coverage Details:

  • A referral is often required

  • Visit limits and coverage vary by diagnosis and plan

  • Services must be medically necessary

I’m happy to help families understand TennCare benefits and next steps.

🟢 TennCare – Wellpoint (effective 2/15/25)

In-Network Provider
TennCare (Wellpoint) covers nutrition counseling for eligible diagnoses, which may include:

  • Diabetes

  • Malnourishment in children and adults

  • Obesity and weight-related conditions

  • Other medical conditions requiring nutrition intervention

Coverage Details:

  • A referral is sometimes required

  • Visit limits and coverage vary by diagnosis and plan

  • Services must be deemed necessary

I’m happy to help families understand TennCare benefits and next steps.

🔵 Blue Cross Blue Shield

In-Network Provider
Blue Cross Blue Shield plans often include coverage for nutrition counseling and preventive services.

  • Coverage may range from 3–12 visits per year

  • Some plans require a referral or prior authorization

  • Preventive visits may be fully covered depending on the policy

Coverage varies widely by plan, so benefit verification is recommended.💛 UnitedHealthcare

In-Network Provider
UnitedHealthcare typically provides strong coverage for Medical Nutrition Therapy and preventive nutrition counseling.

  • Most UHC plans allow 12–24 visits per year, often with little to no copay.

  • Some plans classify nutrition visits under preventive care, which may be fully covered.

How to Verify Your Benefits:
Call your UHC member services line and ask:

  1. “Does my plan cover Medical Nutrition Therapy or preventive nutrition counseling?”

  2. “Do I need a referral or prior authorization?”

  3. “Are my visits subject to a copay or deductible?”

I’m always happy to help you confirm your benefits before scheduling.

🩵 Aetna

In-Network Provider
Aetna plans often cover nutrition counseling under “Medical Nutrition Therapy (MNT)” or “Preventive Nutrition Counseling.”

  • Most plans include 3–6 covered visits per year with little or no out-of-pocket cost.

  • Coverage can vary depending on your specific policy and diagnosis codes.

How to Verify Your Benefits:
Call the member number on your insurance card and ask:

  1. “Does my plan cover nutrition counseling or Medical Nutrition Therapy?”

  2. “Do I need a referral or prior authorization?”

  3. “How many visits per year are covered?”

If you’d like help checking your benefits, I’m happy to assist — just reach out using the Contact form.

💙 Medicare

In-Network (With Physician Referral)
Medicare covers Medical Nutrition Therapy only for individuals diagnosed with:

  • Diabetes, or

  • Kidney disease (non-dialysis)

Important Notes:

  • A doctor’s referral is required for coverage.

  • Sessions must be related to your qualifying condition.

  • If you’re unsure whether you qualify, I can guide you through the process and coordinate with your provider’s office.

💳 Self-Pay & Payment Plans

For clients without Aetna or Medicare coverage, I offer affordable self-pay options.

  • $40 per 75-minute session

  • Payment plans available for flexible budgeting

  • All clients receive personalized handouts and nutrition education materials after each session