Does Medicare cover nutrition counseling for high cholesterol?

Answered by 7 licensed agents

Yes it does.

It covers it through a program called Medicare Nutritional Therapy Services.

Medicare Part B (Medical Insurance) covers certain doctors’ services, outpatient care, medical supplies, and preventive services.

If you have diabetes or kidney disease, or you’ve had a kidney transplant in the last 36 months, you qualify got this service and a doctor must refer you for services.

Answered by Alison Hummel on April 30, 2025

Agent Licensed in NJ & PA

Answered by Alison Hummel Medicare Insurance Agent
Yes, a nutritionist is available but please bear in mind that since there is a dearth of specialists like nutritionists. So, if you are in an Advantage plan network, hopefully there will be choices of specialists that you can depend on. At times, a Medicare Advantage plan will insist upon a "Prior Authorization" which is also known as "Step Therapy". This means that since you may already have a cardiologist (who usually hands out menus for those with a high cholesterol condition), they may not wish to also pay for a nutritionist except in extraordinary circumstances.

That won't happen with a Medicare Supplement plan (with no network) since any specialist would be glad to accept what "letter" of supplement plan with what company you have enrolled with and you'll be able to be treated for your high cholesterol.

Answered by Steven Bleicher on April 24, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent
Nutrition counseling would be covered by Medicare Part B under Medical Nutrition Therapy. This is available for any Medicare beneficiary who has been diagnosed with diabetes, kidney disease, or who has had a kidney transplant within the past 3 years.

This service may also include counseling for beneficiaries who have high cholesterol, high blood pressure, or are obese under certain circumstances.

Answered by Diana Garner on April 24, 2025

Broker Licensed in KY, FL, IN, OH & TN

Answered by Diana Garner Medicare Insurance Agent
Medicare provides traditional health services. MAPD plans offer services about nutrition, diabetes and other areas.

Answered by Aaron Solomon on April 25, 2025

Broker Licensed in OH, LA & TX

Answered by Aaron Solomon Medicare Insurance Agent
Yes, if you meet the eligibility criteria. A referral from your doctor is required. This counseling includes a registered dietician.

Answered by Heather Borlenghi on April 28, 2025

Agent Licensed in GA, AL, AR & 15 other states

Answered by Heather Borlenghi Medicare Insurance Agent
Yes, Medicare Part B typically covers nutrition counseling for individuals with high cholesterol, but only when it's provided as part of a Medical Nutrition Therapy (MNT) program. To qualify, a doctor must refer you for MNT services, and the nutrition professional must meet Medicare's requirements.

Answered by Fred Manas on April 24, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent
Medicare covers MNT for high cholesterol, particularly associated with other health conditions like diabetes or heart disease. The therapy aims to help manage cholesterol levels through dietary changes and lifestyle modifications. Medicare fully covers medical nutrition therapy (MNT) services. However, this requires a referral from a doctor.

Answered by Diana Pedersen on April 24, 2025

Agent Licensed in WA & ID

Answered by Diana Pedersen Medicare Insurance Agent

Tags: Coverage

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