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That refund is automatic, per the brand's published policy

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Blue Cross Blue Shield often covers nutrition counseling for managing various conditions, including: Chronic illnesses like diabetes, high blood pressure, and cardiovascular diseases Obesity Digestive or eating disorders Pregnancy Allergies Preventative care And many more conditions Other cases that require specialized dietary guidance plans, such as sports nutrition, may also qualify for BCBS coverage

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Tell your nurse if you are pregnant or trying to become pregnant