Insurers become dietitian-friendly

More insurance companies are covering visits to dietitians, according to the American Dietetic Association (ADA). Medical conditions directly linked to nutrition, such as obesity, diabetes and hypertension, are the most frequently reimbursed, but a new trend is emerging: counseling for early-warning symptoms such as elevated blood sugar or cholesterol as a way to prevent disease. Even among national insurers, there are regional differences, so check with your provider to find out whether MNT (medical nutrition therapy) is covered. A prescription from a physician stating that you need such therapy for a specific condition helps, because insurance companies usually require proof that the visit is a medical necessity. Some insurance companies have preferred dietitians, but you also can check listings at the ADA's Web site, eatright.org.

Keep a detailed (and honest) three-day food and beverage diary and submit it to the dietitian before your first visit, advises Cindy Baranoski, R.D., M.S., nutrition department head at Easter Seals DuPage in Villa Park, Ill. Also provide information about any medications and supplements you take as well as food-related problems, such as allergies.

If your insurance won't pay, you may be able to use your employer's flexible-spending account to cover the cost. If neither of these options pans out, you might be able to deduct the cost from your taxes under a 2002 IRS ruling.

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