​​​Nutrition therapy is provided on an individual basis by appointment virtually during COVID. 

Medical conditions or concerns commonly treated by Ann include: 

• Diabetes/Pre-diabetes
  
• Eating disorders
  
• Elevated cholesterol
  
• Gastrointestinal disorders​
• ​​Healthy eating/Preventive nutrition
  
• High blood pressure​
  
• Hypoglycemia 
  
• Kidney Disease​
  
• Weight management
  
• Vegan/Vegetarian diet
  

First visit:
This 60 to 90-minute appointment begins to identify and address your nutritional goals based on your medical conditions and history, family medical history medications, lab results, physical activity, and height and weight.  

NOTE:Please provide prior to  your first appointment:

• Completed registration form (under the "Forms" tab)
  
•  3-day food record (under the "Forms" tab) 
  
•  Recent lab reports
  
•  Blood glucose information (if tracking)
  
• Insurance card front and back or your payment (see below).
  
•  Referral from your physician specifying the diagnosis code (ICD-10 code) for clarification and billing.  
  

Follow-up visits:
This 30 to 60-minute appointment provides the support and re-evaluation in order to fulfill your nutritional goals.

Self-pay 

Please call 631.324.1953 for the fee schedule. Payment is due at the time services are rendered. 

Checks, Zelle or PayPal are accepted. 

Insurance
Ann participates with the following insurance plans: 

• Cigna
• Blue Cross Blue Shield
• Empire Plan/NYSHIP
• ​Medicare (diabetes and kidney disease only)
  
• Oxford Health Plans
  
• United HealthCare
  

Please note :  
Contact your insurance company's member services before the first appointment to determine your coverage.
*Record the name of the person you are speaking with and request a reference number for the phone call.

Here are the questions to ask:
1. Am I covered for "medical nutrition therapy"?  The procedure codes are 97802 and 97803. 
2. Does my plan cover my medical conditions? Share all your conditions. 
3. How many visits am I entitled to? Is this per year? 
4. Do I need a referral to see a specialist like Ann Silver?  Her NPI number is  1689673246.
5. Is  Ann  Silver on my plan?
6. Do I have a copay or deductible? What is it?

You will be responsible for any visits when your insurance carrier denies payment.