Insurance

Documentation with medical coding may be necessary for insurance coverage for WA and CT clients, and a referral from a physician is required in California for medical nutrition therapy (MNT). Eligibility for insurance coverage of MNT is variable based on your payer and your plan. Some plans offer preventative MNT visits with no cost share required by the patient, while others may only provide coverage for medical MNT, which requires copay/coinsurance/applied deductible. Typically only certain medical diagnoses are covered for MNT.

HSA and FSA payment is accepted for copay, coinsurance, and cash-pay appointments.

In-Network

Insurance coverage may be available for Medical Nutrition Therapy (MNT) for certain medical diagnoses and preventative care. Marin Functional Medicine is currently in-network with Aetna, United Healthcare, Cigna, Regence Blue Shield, Premera Blue Cross, Anthem BCBS, Medicare (including Aetna & UHC Medicare Advantage), First Health, and American Specialty Health. MFM is in the process of contracting with other major carriers, so please stay posted for updates/additions. If you are in-network with any of the above, primary or secondary, and wish to work with MFM using insurance, please reach out with your plan information and we will verify in-network eligibility with your particular plan, with any applicable diagnosis codes (ICD-10) provided by your physician.

Please refer to this Insurance Verification Guide to begin the process of booking an insurance-based appointment with Marin Functional Medicine.

Need help requesting a referral?

Complete this form if you would like us to contact your physician for a referral for Medical Nutrition Therapy. Please provide your contact information and include your physician’s name and medical office phone or fax number in the message section.

Out-of-Network

A “superbill” receipt can be provided for those not insured by Aetna, United Healthcare, Cigna, First Health, ASH, Medicare, or Medicaid for possible full or partial reimbursement to you from your insurance carrier for out-of-network clinical nutrition services. You may wish to contact your insurance carrier to verify out-of-network medical nutrition therapy services. Payment in full is due to Marin Functional Medicine at the time of service.

Verifying Benefits

For either in-network (Aetna, UHC, Cigna, Anthem BCBS, First Health, American Specialty Health, Medicare) benefits or for out-of-network superbill (possible) coverage, please call your insurance company to verify benefits. Refer to this Insurance Verification Guide when contacting your provider. You may also send us a copy of the front and back of your insurance card and a copy of your ID and we’d be happy to verify benefits for you. When you call, check to see if we are in-network or out-of-network with your carrier and plan:

Refer to The following NPI provider numbers:

  • Marin Functional Medicine: 1710672001

  • Diane Robinson, M.S.: 1881389245

Questions to ask your insurance company:

  • Does my plan cover Medical Nutrition Therapy, CPT codes 98702 (Intake Session) and 97803 (Follow-Up Sessions)?

  • Does my plan provide coverage for preventative medical nutrition therapy? If so, how many sessions are covered?

If medical coverage is available for MNT:

  • Which ICD-10 Codes are covered?

  • Do I have a deductible to meet?

  • Do I have a copay or coinsurance per visit?

  • Do I have a visit limit?

Make a note of the day and time of the call, as well as the name of the representative and reference number for the call.