After-Hours Care Appointments

How Nutrition, Weight Loss, and Lifestyle Counseling can Help You

Making sense of food and nutrition information is often difficult in our modern day environment.  Dietary advice can also be confusing and ineffective if it is not evaluated against the best available scientific evidence. Our Dietitian/Nutritionist will work with you to assess your nutritional requirements, she will analyze dietary and lifestyle factors specific to you, and formulate a customized plan to meet your individual needs as well as your personal health and weight goals.  Nutrition intervention when matched to your lifestyle, culture and metabolic requirements will help to improve your energy levels, sense of well-being as well as your quality of life in the short and long term. To learn more about how Medical Nutrition Therapy can help you better manage a chronic condition click here.

Visit Types

The Nutrition Care Process at Avance Care includes three key counseling sessions as well as ongoing follow-up sessions to provide needed support and monitoring to help you achieve and maintain your health goals. An explanation of the different visit types is discussed further below.

Your First Visit with the Dietitian/Nutritionist

This session includes a comprehensive nutritional assessment and an individualized education and counseling session.

The duration of this appointment is 90 minutes, this is time well spent allowing the Dietitian/Nutritionist to assess and identify your individual requirements.

Where will this appointment take place?

Your initial appointment will need to be an in office visit at a selected Avance Care location.

What you need to bring to your first appointment: Fill the “New Patient Nutrition Assessment Form” prior to your 1st appointment with nutritionist/dietitian. Click here to open the form. If you are taking any nutritional supplements, bring these with you. If you have any specific questions about nutrition related to your condition, write these down and bring them with you too.

What to expect at your First Consultation?

  • The Dietitian/Nutritionist will complete anthropometric assessments which refers to body measurements, specifically your Height, Weight, Body Mass Index (BMI), Waist Circumference and Body Frame size.
  • She will review your medical and family disease history.
  • If you are taking any supplements the Dietitian/Nutritionist will review these and evaluate them against your personal health goals.
  • This assessment will look at particular lifestyle habits that may be impacting on your health and/or disease risk.
  • A complete nutritional assessment will be completed at this appointment. The Dietitian/Nutritionist will use this information to analyze your current food intake and to generate a comprehensive report of your average nutrient intake compared to your specific needs. This report will be discussed with you at your second visit.
  • Educational processes are customized to your needs, and educational materials will be provided and discussed with you according to your health goals.
  • Our nutrition education process is unique and will help you to make sense of dietary choices through gaining a better understanding of food classification systems, food functions and the interactions of food choices with metabolism and specific disease processes.
  • The Dietitian/Nutritionist will work with you at this consultation to set short and long term goals.

Your Second Visit with the Dietitian/Nutritionist

This session includes: a body composition assessment, an  explanation of your nutritional analysis report, a review of your individualized meal plan and a discussion of menu planning.

The duration of this appointment is 60 minutes.

Where will this appointment take place?

Your second visit will need to be an in office visit at a selected Avance Care location.

What to expect at your Second Consultation?

  • The Dietitian/ Nutritionist will complete routine anthropometric measurements.
  • You will have an opportunity to have your Body Composition assessed by advanced bio-impedance technology at this visit. This test can be repeated as required to show changes in your body composition. To learn more about this test click here.
  • The Dietitian/ Nutritionist will review your comprehensive nutritional analysis report with you at this consultation, and highlight dietary behaviors that adversely affect health. She will also highlight those behaviors that are considered healthy and should be sustained in order to help you achieve and maintain your goals.
  • The Dietitian/Nutritionist will discuss and review your customized meal plan.
  • She will demonstrate how menu plans can be easily developed from the prescribed meal plan and exchange system.
  • This consultation will provide further opportunity for you to ask any questions you may need answers to – regarding your meal plan, health or a chronic condition.

Your Third Visit with the Dietitian/Nutritionist

At your third appointment the Dietitian/Nutritionist will assess your implementation of your customized meal plan, and will identify adjustments that need to be made if necessary. She will help you find solutions to any problems you may have encountered with regard to the application of recommended nutrition and lifestyle guidelines.

The duration of this appointment is 30 to 60 minutes.

Where will this appointment take place?

Your third visit will need to be an in office visit at a selected Avance Care location.

What to expect at your Third Consultation?

  • The Dietitian/ Nutritionist will complete routine anthropometric measurements.
  • If you are tracking your food intake and activity levels on paper or by using an App, the Dietitian/Nutritionist will review this information together with you at this appointment.
  • She will discuss and review any goals set with you at your previous visit.
  • She will help you find solutions to any problems you  may have encountered with the implementation of the prescribed meal plan and the application of recommended dietary guidelines
  • If additional educational materials are needed these will be provided and explained to you at this appointment.

Subsequent Appointments: Monitoring and Support

The duration of these appointments is typically 30 minutes.

Where will this appointment take place?

All follow-up consultation can either be at an appointed Avance Care location, or completed remotely via Telehealth. The Dietitian/Nutritionist will discuss what arrangement will work the best for you, to help you reach and maintain your health and wellness goals.

What to expect at Follow –Up Consultations?

Research shows that on-going monitoring and support provided by a trained professional such as a Dietitian/Nutritionist ensures the best possible outcomes when it comes to changing dietary and lifestyle behaviors. A collaborative relationship between the provider and the patient allows for continuous problem solving, re-evaluation of goals, assessment of progress, and the provision of ongoing motivation and support. All of these elements are necessary to ensure continued engagement and in the long-term sustained success.  At Avance Care we are committed to your success, and want you to achieve and maintain your specific health and weight management goals. To this end it is important that you attend regular appointments with our Dietitian/Nutritionist. The Dietitian/Nutritionist will discuss the frequency of follow-up visits with you and what options will work best for you to achieve your health goals. She will tailor your program to your specific needs and will endeavor to match your program to your insurance plan benefits as far as she is able to.

Does my Health Insurance provide benefits for Nutritional Counseling, and Weight Loss services?

Most health insurers will cover medical nutrition therapy (MNT) services provided by a licensed dietitian.  The Affordable Care Act, has also significantly increased benefits available for preventive services including nutritional counseling. In some cases you may be eligible for unlimited benefits with no co-pay or deductible, while other plans may limit the number of visits you may have with the Dietitian/Nutritionist on an annual basis. It is important to find out what benefits are available to you.

At Avance Care our Dietitian/Nutritionists currently provides in-network services to members of Blue Cross and Blue Shield (BCBS), United Health Care, and Medicare. We also offer these services at an affordable rate to you if you need to pay for the service as an out of pocket expense.

To find out more about the benefits available to you, it is important to contact your health insurer. Knowing your benefits can help you address your nutritional counseling needs at an affordable cost.

Medical billing is done using a coding system. Every billable service is assigned a 5-digit procedure code. Use the codes below to ask your insurance company how much coverage they provide for medical nutrition therapy (MNT), and if your deductible applies to these benefits.

Questions for Your Insurance Company

Medical Nutrition Therapy (MNT) Codes

97802: initial assessment and intervention, individual consultation

97803: re-assessment and intervention, individual, consultation

  • Do you cover codes 97802 and 97803?
  • Does my deductible apply for procedure codes 97803, 97802, and if so, how much remaining deductible do I have?
  • Is there a limit to the number of time units that are permitted per visit and per procedure code?
  • Is there a limit on the number of visits permitted per enrollment period?
  • Is there a co-pay on codes 97802 and 97803?
  • Do I need a specific diagnosis in order to receive these benefits?

For example, some health insurance companies may only provide benefits for diabetes, while others will pay for nutritional counseling related to almost any condition. It is important to know what your benefits are and to discuss this with the Dietitian/Nutritionist when you meet.

Out of Pocket (Self-Pay) Payments

Only Available in a 3 Visit Bundle or a 6 Visit Bundle. Individual Visit Purchase is Not Available.

3 Visit Bundle*:        $300 (Upfront Single Payment Only)

6 Visit Bundle*:        $500 (Two Installments of $250 Each to be Paid During First Two Visits)

*Includes Initial 90 Minute Visit, Second and Third Visits are 60 Minutes Each, All Other Visits are 30 Minutes Each. Only the 6 visit bundle includes a grocery store tour.

Cancellation Policy

Due to the growing demand for Nutrition Care Services and Dietary Counseling provided by our Licensed Dietitian/Nutritionist, we respectfully ask that if you are unable to keep your scheduled appointment that you provide us with a minimum of 24-hour advanced notice.

For appointments that are not cancelled timeously, a “no-show” fee of $75 will be billed to your account.

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