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MHBP (FEHB) MNT coverage: limits

The short answerMHBP lists intensive nutrition therapy for adults as a specialist professional service ($30 Standard, $50 Value copay in-network). Obesity nutrition counseling is limited to 26 preventive visits a year at $0 in-network. The brochure names medical nutrition therapy only inside individual diabetic education. No codes are named.

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

97802Not published
97803Not published
G0270Not published
G0271Not published
Where it applies2026 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]
DiagnosesIndividual 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 POSNot published: call the payer.
Telehealth modifierNot published: call the payer.
Visit limitsPreventive 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 authNot published: call the payer.
PaymentIntensive 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]
AlsoThe brochure tells members to call MHBP for the specific services covered under diabetic education. Nutritional supplements or food are not covered. [1]
  1. OPM: 2026 MHBP brochure, Standard Option and Value Plan, FEHB (RI 71-007), checked October 30, 2026
  2. 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.

Sources

  1. OPM: 2026 MHBP brochure, Standard Option and Value Plan, FEHB (RI 71-007)
  2. OPM: 2026 MHBP brochure, Standard Option and Value Plan, PSHB (RI 71-023)

Sources checked . Payer rules change; verify the member's benefits.

Frequently asked questions

Does MHBP (FEHB) limit MNT visits?

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.

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