Private Payers

  • Medical Necessity

    When MNT is important to the management or treatment of a condition, and it has been established that a patient has a benefit for MNT but a diagnosis(es) is not specifically covered or excluded under a patient's individual plan benefits, opportunities for patient coverage and payment for MNT may be possible if it is determined that the MNT is medically necessary.

  • Verifying Benefits

    Payer payments to RDNs or practices for MNT, in the form of reimbursement or from other payment models, depend on several factors.

  • Sample Coverage Policies

    When it comes to the private market, insurance companies are not selling only “one policy.”