Services

Our dietitians provide individual nutrition therapy in our offices and via secure telehealth, tailored to your needs. We will conduct an initial assessment visit, typically 90 minutes, primarily to gather all the necessary information to inform the nutrition therapy process. We will discuss your particular nutrition concerns and work together with you to determine goals for nutrition therapy. If requested, we will collaborate with your other health care providers, such as your physician and/or therapist. Typical follow up visits are 60 minutes in length; frequency of visits is determined by your particular needs and the therapy plan. Our dietitians’ specialty areas for individual therapy include eating disorders/disordered eating, chronic dieting, intuitive eating, food allergies, nutrition and self-care in pregnancy, diabetes, PCOS, gastrointestinal problems, nutrition for older adults, sports nutrition and general nutrition concerns.

So much confusion and anxiety surrounds issues of childhood feeding today. It is so easy, in this environment, to worry about your child’s eating, weight, or general health. If feeding your family just isn’t going how you expected or you need support, we can help. We believe that YOU are the expert when it comes to your child, and we can support you in establishing a family feeding environment that works for your family. We will assess your child’s growth and eating history, collaborate with your pediatrician or any other professionals on the health care team, and address your particular struggles and concerns. Our pediatric dietitians are sensitive and compassionate, with experience counseling for “picky” eating, food aversions, weight concerns, disordered eating, food preoccupation, and allergies and sensitivities. Feeding your family doesn’t have to be complicated, and peaceful, pleasant family meals are possible.

We are available to speak to your group of students, athletes, employees, educators, or parents about various nutrition-related topics. Please contact us to see if we would be well suited for your group’s needs.

We also offer consulting services, and would be happy to talk with you about policy or health promotion ideas for your organization. As eating disorder professionals, we are particularly passionate about helping organizations support balanced, intuitive eating and health behaviors in their communities. Contact us for details.

Our dietitians, Anna Lutz and Sara Gonet offer clinical supervision, case consultation, and business coaching for Registered Dietitians seeking support in their clinical work and business.

• One-on-One Clinical Supervision: We offer clinical supervision and case consultation in person and virtually. These meetings can be done on a regular or as needed basis, depending on your needs. Anna Lutz and Sara Gonet are iaedp Approved Supervisors, for those seeking Eating Disorders Certification through iaedp. We each offer a free 15 minute phone/video call, if you are interested in discussing these services and seeing if we may be a good fit for you and your work. Contact Anna anna@lutzandalexander.com or Sara sara@lutzandalexander.com for details.
• Interdisciplinary Eating Disorders Clinical Supervision groups: Anna is thrilled to be co-leading two clinicalsSupervision groups with Dr. Maria Paredes of Three Birds Counseling and Clinical Supervision. These dynamic groups are for Registered Dietitians, psychotherapists and healthcare providers. For more detailed information and to submit an interest form visit this link. You may also contact Anna with any questions anna@lutzandalexander.com

Are you interested in learning more about what Clinical Supervision is?  Check out the Mindful Dietitian’s course Supervision Essentials for Dietitians.  In this free course, created by Fiona Sutherland, dietitians speak about the purpose, benefits, and myths of clinical supervision.

Rates/Fees:

• Initial Assessment, typically approx. 85 minutes: $360
• Follow up visit, typically approx. 55 minutes: $210
• We offer a prompt payer discount for those who pay at time service.

BCBS Insurance: 

Lutz, Alexander & Associates Nutrition Therapy is in network with BCBS NC and Regence BCBS Oregon. If you have any BCBS insurance, we will file insurance claims on your behalf with BCBS NC or Regence OR.  (We are NOT in network with the BCBSNC health plans Blue Local, Blue Home, or Blue Value)

If you will be using your BCBS health insurance policy to cover a portion of your nutrition therapy, you will need to understand your coverage, including your co-pays, co-insurance and deductible. We strongly recommend you contact your insurance company prior to your first visit (see below).

Self Pay/Out of Network:

We are out of network with other insurance companies. We can provide you with a “super bill,” which can be submitted to your insurance company for reimbursement. You can call your insurance company to inquire about your out of network benefits. If we are out of network with your insurance company, you will need to pay for your sessions at the time of service, and if you choose to submit the super bill to your insurance company, the reimbursement will be paid directly to you.

As of January 1, 2022, all healthcare providers are required to provide estimates for the costs of your care, if we are not filing directly with your insurance company. A Good Faith Estimate will be provided by your clinician upon scheduling and/or as requested. While it is difficult to predict the number of sessions you will ultimately need to reach your treatment goals, we strive to be as transparent as possible about cost of treatment during this process.

For Clients with BCBS and Self Pay/Out of Network Clients: 

Please call the Customer Service telephone number on the back of your insurance card prior to your first visit.

When calling your insurance company, ask the following questions to help determine your coverage:

1. Is Lutz, Alexander & Associates Nutrition Therapy (NPI number 1902457856) currently an in-network provider for my plan?
2. If not, what are my out of network benefits?
3. Does my plan cover outpatient nutrition therapy CPT codes 97802 (medical nutrition therapy – assessment), 97803 (medical nutrition therapy – follow up), 97904 (medical nutrition therapy – group), or S9470 (“nutritional counseling”)? If you have diabetes, you may also want to ask about diabetes management codes, G0108 (individual) and G0109 (group).
4. Do I have any nutrition counseling visits covered under the preventative care portion of my plan, (ICD-10 code z71.3)?
5. Due to the COVID-19 pandemic, do I currently have coverage for services provided via telehealth?
6. Do I need a physician referral?
7. Do I have a deductible for “Nutritional Counseling Services?”
8. If yes, how much is it and how much has been met so far?
9. Is there a copayment for each visit or do I have co-insurance? If I have co-insurance, what is the percentage of coverage?
10. How many sessions are covered per year?
11. What month does the policy year renew?
12. Are there any restrictions and/or limitations to my coverage?
13. Write down and keep the reference number for your call.

Feel free to contact your dietitian or practice co-owner Anna Lutz anna@lutzandalexander.com, if you have questions about working with your insurance company.