MHBP (FEHB) MNT coverage: limits
1 row: MHBP. Public policy, not the member's benefits.
MHBP (FEHB)
MHBP Standard Option and Value Plan, 2026 FEHB brochure (RI 71-007); the PSHB brochure RI 71-023 reads the same · All states
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | 2026 brochure for the MHBP Standard Option and Value Plan (FEHB, RI 71-007). The postal (PSHB) brochure RI 71-023 carries the same benefit wording. A separate Consumer Option brochure exists. [1][2] |
| Diagnoses | Individual diabetic education for members with an established diagnosis of diabetes includes medical nutrition therapy. Standard Option 10% in-network, Value Plan 20%; out-of-network all charges. Group diabetic education sessions are not covered. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Preventive intensive nutrition and behavioral weight-loss counseling is limited to 26 visits per person per calendar year, with nothing owed in-network. Visits beyond 26 are covered as diagnostic and treatment services. [1] |
| Referral and prior auth | Not published: call the payer. |
| Payment | Intensive nutrition therapy for adults is listed with specialist professional services: Standard Option $30 copay per office visit in-network, 30% out-of-network; Value Plan $50 copay in-network, 40% out-of-network. [1] |
| Also | The brochure tells members to call MHBP for the specific services covered under diabetic education. Nutritional supplements or food are not covered. [1] |
- OPM: 2026 MHBP brochure, Standard Option and Value Plan, FEHB (RI 71-007), checked October 30, 2026
- OPM: 2026 MHBP brochure, Standard Option and Value Plan, PSHB (RI 71-023), checked October 30, 2026
Check a MHBP claim against the row
Before a MHBP (FEHB) claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare MHBP with another payer, then download the PDF of what you see.