Does Medicare Cover A Dietitian? Coverage & Benefits Explained

Your nutrition needs and health conditions change as you age.

Seeking support from a registered dietitian that’s covered by insurance can help you navigate nutrition information confidently and meet your health goals. 

Read on to learn what Medicare covers for nutrition services, including eligibility requirements, coverage limitations, and alternative options for seeking nutritional support.

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Does Medicare Cover a Dietitian?

A registered dietitian can provide medical nutrition therapy (MNT), a nutrition-based treatment and education plan that typically includes several sessions to help improve and manage health conditions. 

MNT is covered for individuals with Medicare Part B or Medicare Advantage (Part C) with the following health conditions:

• Type 1 or type 2 diabetes.
• Chronic kidney disease (CKD).
• Have had a kidney transplant in the last 36 months.

A doctor must refer patients to be eligible for MNT from a registered dietitian. 

What Nutrition Services are Covered by Medicare?

Once your doctor refers you to a dietitian, you have access to nutrition services (or MNT) which include the following:

Nutritional Assessment

A registered dietitian will complete an initial assessment (or session) to determine your nutrition needs, health goals, and eating behaviors.

These are typically 45 to 60 minutes long. 

The dietitian will then create an individualized MNT education plan to help you improve your overall health related to diabetes or chronic kidney disease.

You and your dietitian will adjust the MNT plan at further sessions.

One-on-one Counseling

You and your dietitian will work together to manage and improve your health conditions.

You might work on changing your diet, expanding your nutrition education, and learning how to change habits.

Some examples of topics you may cover:

• Reading nutrition and food labels.
• Planning meals to manage diabetes or chronic kidney disease.
• Adjusting eating routines and blood glucose monitoring.

Group Counseling

Some dietitians provide group counseling, in which two or more individuals learn about the same health condition. 

Unique benefits of group counseling sessions may include: 

• Peer support (people may share experiences you can relate to).
• A sense of community (which may help you feel more supported).

How Often Can I See a Dietitian with Medicare?

Medicare will cover three hours of individual or group counseling provided by a registered dietitian in the first year after your referral from a doctor. 

In subsequent years, Medicare will cover additional MNT from a dietitian for up to two hours as long as you continue to have a diagnosis of diabetes or chronic kidney disease. 

Typically, these hours are separated into shorter sessions and spaced out by several weeks to allow you to work on your health goals and share feedback as you implement the changes. 

Eligibility Requirements for Medicare Coverage of Nutrition Services 

There are many factors to understand regarding Medicare coverage eligibility, including age, qualifying health conditions, the various parts of medical care, and accepted health programs. 

Limitations and Restrictions

Medicare is health insurance for people 65 years and older.

Some people are eligible for Medicare earlier with specific disabilities, end-stage renal disease, or amyotrophic lateral sclerosis (ALS). 

Medicare has different “parts” that cover different kinds of medical care. 

• Part A primarily covers hospitals, skilled nursing facility care, hospice care, and home health care.

• Part B helps cover doctor visits, outpatient care, home health care, medical equipment, nutrition services, and preventive services like screenings and shots. 

• Part D helps cover prescription medications.

• Part C (or Medicare Advantage) is a Medicare-approved plan from a private company that usually covers Part A, Part B, and often Part D.

You pay nothing if you have a doctor referral for MNT to address diabetes, chronic kidney disease, or have had a kidney transplant in the last 36 months.

‍You are eligible if you have original Medicare (Part A and B) or Medicare Advantage (Part C).

Another program called diabetes self-management training (DSMT) is available to individuals with diabetes.

DSMT includes ten hours of combined individual and group training to improve the health and nutrition of people with diabetes. 

You can use MNT and DSMT at the same time; however, you cannot get services from both programs on the same day.

A doctor, nurse practitioner, or physician assistant can refer you for DSMT. 

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Does Medicare Cover Virtual Or Online Dietitians?

Up until December 31, 2024, Medicare covers virtual, telehealth, or online dietitians. 

After this date, coverage may change.

Likely, if you live in a rural area, you may be able to get MNT services from a dietitian using virtual, telehealth, or online. 

Nourish is in-network with Medicare.

‍Find out more about your insurance coverage and working with a Nourish dietitian.

Alternative Options For Nutrition Support

If your Medicare insurance doesn’t cover nutrition support from a dietitian for your specific health conditions, like prediabetes or heart disease, there are other options to learn more about nutrition. 

If you still have private insurance coverage under your employer, they might cover nutrition therapy. 

Depending on your state and if you have Medicaid, it may cover nutrition services for conditions like heart disease, high blood pressure, and gastrointestinal disorders.

Many communities offer health programs funded by grants or at discounted rates.

Check with local community centers and hospitals for programs in your area. 

Lastly, you can pay for nutrition services out of pocket.

Many dietitians offer discounted services or online self-paced group courses at a lower rate. 

Look for courses or services provided by a registered dietitian (RD) or registered dietitian nutritionist (RDN) to ensure you receive up-to-date research-based nutrition care. 

How To Find A Registered Dietitian Covered By Your Medicare Plan

Your doctor can refer you to a registered dietitian in your area.

If you live too far from one or none are available, you can see one via telehealth or online. 

Nourish is in-network with Medicare.

For in-network patients, Nourish will work with your insurance company to ensure coverage before your first visit with a dietitian.

Find out more about your insurance coverage and working with a Nourish dietitian.

They have over 300 Medicare dietitians to find the right fit for you. 

Takeaway

If you have Medicare and diabetes, chronic kidney disease, or have had a kidney transplant within the last 36 months, you can see a dietitian at no cost.  

If you saw a dietitian a few years ago for these conditions, you are still eligible to learn more from a dietitian. 

Ongoing nutrition education can empower you to manage your health conditions well and feel your best.

Take advantage of resources covered under your health insurance. 

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How A Dietitian Can Help

Working with a registered dietitian covered under Medicare can help you achieve your health goals and build confidence in managing your health condition for years to come. 

A dietitian partners with you to provide expert, individualized nutrition guidance to help you make positive changes in your eating and life. 

Here are some related topics to learn about healthy eating and nutrition:

• Does my insurance cover nutrition counseling?
• Help! I was just diagnosed with diabetes–what do I do now?
• I would like to learn more about nutrition and diabetes–can you help me with that?

Find a dietitian who accepts insurance through Nourish.