Free tools

NALC Health Benefit Plan (PSHB) MNT coverage: referrals and who can bill

The short answerThe NALC Health Benefit Plan covers nutritional therapy when the attending physician prescribes it and a registered nurse or licensed or registered dietitian/nutritionist provides it. PPO cost is nothing with no deductible. Virtual nutrition counseling is offered. This is the postal (PSHB) brochure; no codes are named.

1 row: NALC Health Benefit Plan. Public policy, not the member's benefits.

NALC Health Benefit Plan (PSHB)

NALC High Option, 2026 Postal Service Health Benefits brochure (RI 71-024) · All states

97802Not published
97803Not published
G0270Not published
G0271Not published
Where it appliesThe 2026 brochure is for the Postal Service Health Benefits (PSHB) Program: Postal Service employees and annuitants. It covers High Option and a CDHP. [1]
DiagnosesNot published: call the payer.
Telehealth POSNot published: call the payer.
Telehealth modifierNot published: call the payer.
Telehealth rulesNutrition counseling is also available virtually through the NALCHBP Telehealth app. [1]
Visit limitsNot published: call the payer.
Referral and prior authEducational classes and nutritional therapy must be prescribed by the attending physician. [1]
Who can billAdministered by a covered provider such as a registered nurse or a licensed or registered dietitian/nutritionist. [1]
PaymentHigh Option: PPO nothing with no deductible; non-PPO 35% of the Plan allowance plus any difference from the billed amount. [1]
  1. OPM: 2026 NALC Health Benefit Plan brochure, High Option and CDHP (RI 71-024, Postal Service Health Benefits Program), checked October 30, 2026

Check a NALC Health Benefit Plan claim against the row

Before a NALC Health Benefit Plan (PSHB) 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 NALC Health Benefit Plan with another payer, then download the PDF of what you see.

Sources

  1. OPM: 2026 NALC Health Benefit Plan brochure, High Option and CDHP (RI 71-024, Postal Service Health Benefits Program)

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

Frequently asked questions

Does NALC Health Benefit Plan (PSHB) need a referral or prior authorization for MNT?

Educational classes and nutritional therapy must be prescribed by the attending physician.

Part of Free tools & cheat sheets.