01
Initial assessment
The first nutrition counseling session is 1 hour. Your dietitian will spend time getting to know your lifestyle, eating habits, successes and pain points when it comes to nutrition.
We will review your overall nutrition plan that focuses on areas to optimize to help you achieve your health goals. You will have your burning questions answered and leave the first visit with more clarity on what to eat.
Keep in mind, with so many nutrients involved in CKD nutrition education, follow-up visits are necessary to provide more in-depth education on specific topics.
02
Follow-Up
Follow-up visits (3o-45 minutes) are really where the magic happens. While just having a basic nutrition plan is helpful, it’s ongoing education, goal setting and action steps that set you up for long term success. During these sessions, we can deep dive into specific nutrition topics, address questions, meal plan and continue to tweak your diet.
There is no specific cadence required for follow-up visits, frequency is determined by both the provider and client. Clients who prefer more accountability or are more medically complex may choose to meet biweekly while those who need less support, monthly or quarterly.
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I hold the credentials “CSR” which means I am board certified in renal nutrition. Someone who is board certified is considered an expert in that specific area. Chronic kidney disease is complex and optimal nutrition is vital for this population as it can help slow the progression of the disease and help keep people off dialysis. Working with a specialist will ensure you are getting the most accurate, up-to-date, evidenced based information when it comes to nutrition and chronic kidney disease.
Most insurance plans cover nutrition counseling and often with no cost to the patient.
Lindsay Ducharme RD, CSR, LDN is currently in-network with:
Medicare Part B and Medicare Advantage plans cover nutrition counseling in full for those who have chronic kidney disease and/or diabetes (a doctors order is required).
Most of commercial insurance plans cover nutrition counseling as well, but it’s recommended to verify coverage prior to sessions as plans vary state to state. If you are curious if you plan covers nutrition counseling and potential out of pocket costs feel free to use this script to learn questions to ask.
Both telehealth and in-person visits are available.
Telehealth is a video call and it can be done through a computer, tablet or smartphone. The platform used is HIPPA compliant and user friendly.
In-person visits are available by appointment only at 1501 Main St, Suite 45, Tewksbury, MA
Sessions are highly individualized based on the client and their personal needs/goals.
Here are some examples of topics that can be included throughout your visits:
If you have an insurance plan I am not contracted with, I will not be able to bill your insurance company directly. Payment is due at time of service. See my current out of pocket pricing. Superbills can be provided for those who have out-of-network benefits.
Appointments should be canceled at least 24 hours in advance. You may be subject to a $40 cancellation fee if you cancel without proper notice. There are no refunds for nutrition services.