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
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | The 2026 brochure is for the Postal Service Health Benefits (PSHB) Program: Postal Service employees and annuitants. It covers High Option and a CDHP. [1] |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Telehealth rules | Nutrition counseling is also available virtually through the NALCHBP Telehealth app. [1] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Educational classes and nutritional therapy must be prescribed by the attending physician. [1] |
| Who can bill | Administered by a covered provider such as a registered nurse or a licensed or registered dietitian/nutritionist. [1] |
| Payment | High Option: PPO nothing with no deductible; non-PPO 35% of the Plan allowance plus any difference from the billed amount. [1] |
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.