FAQ

Do you accept insurance?

We are happy to announce that we are now accepting the following insurance plans: Aetna, BCBS, Cigna, Empire, Independent Health, Magnicare, MVP Healthcare, Nova Medicalcare Network, United Healthcare, Univera/Excellus BCBS, & Yourcare. Please contact your insurance company for specific coverage/co-pays.

When calling to ask about coverage from your insurance company, please ask the following questions: Do you cover the following codes? 97803 & 97802 for Medical Nutrition Therapy as well as G0108 for Diabetes Counseling. If they state no, please then ask if you have any coverage under the Affordable Care Act (ACA) or preventative coverage. Please note you may also need your current diagnosis ICD-10 codes from your Physician so that they can check your benefit for your specific disease or condition. It is important that you document and obtain a reference number from your call and provide that to us.

Many insurance companies require that your appointment is medical necessity in order to cover the cost of your appointment. WNY Nutrition PLLC/Sarah Thompson DiPaolo does require that the following information is faxed directly to Custom Dietetic PC's office (Attn: Custom Dietetics PC new appointment request) at (716) 636-0389.

  • Demographic sheet including name, address, phone number, DOB, and insurance information
  • History & Physical which should include the following:
    • Medical History with pertinent diagnosis codes (ICD10 codes). If the concerns you wish to see a Registered Dietitian for aren't within the medical history/diagnosis, then please have your physician send a referral for those specific conditions as well.
    • Height/weight
    • Family History
    • Medications/supplements
    • Last year of blood work
    • Pertinent specialist consults/evaluations that would impact nutritional status.

For other insurance plans not listed above, we are happy to assist you in the reimbursement process. You should obtain a letter of referral from your doctor and we will provide you with a super bill, which you will send to your insurance company for reimbursement. Despite our efforts we cannot guarantee that you will get reimbursement, so you may want to discuss this with your insurance company prior to your initial visit. You can contact your insurance company directly.

Many Flexible Spending Plans & HSA plans also cover Nutrition Counseling/Medical Nutrition Therapy and will reimburse for this service.

How often are follow-up appointments?

The first follow-up is usually one week after the initial appointment and from there, based upon the individual and medical condition; appointments are normally every two weeks to once a month. Once the condition has stabilized and/or the client feels confident in the process, appointments can range from every two to six months.

What should I bring with me to the initial appointment?

Upon making your initial appointment, you will be sent a comprehensive initial patient questionnaire to fill out. These forms are made available securely online for you to fill out and are required to be submitted at least 48 hours prior to your initial appointment so that your clinician has sufficient time to review and plan for your session. You should bring your insurance card and photo ID to your initial appointment and any additional information that you have that may be pertinent for your visit that you did not upload when filling out your forms or that wasn't already submitted to our office from you or your physician's office.

What is your confidentiality policy?

All of your personal information and our conversations during sessions are completely confidential.

What are the office hours?

We have flexible office hours Monday – Friday, beginning at 9 am through 6pm, most days of the week. Hours vary based on the clinician's schedules. Custom Dietetics PC has multiple Registered Dietitian Nutritionists that have weekend/evening hours. Please visit Custom Dietetics PC's website for more information.

Do you have group classes?

Actively we do not have any group classes available. If you are interested in joining or having us perform a group education class please contact us.

Do you have telephone, Video conferencing or email appointments?

Yes we do, although, for the initial appointment we prefer a face-to-face interaction so we can complete our nutritional assessment/physical on you. If this is not possible due to distance or disability we would be happy to schedule phone, video conferencing or email sessions with you. Many insurance companies cover face-to-face visits, and some are starting to cover video conferencing (we recommend contacting your insurance company in regards to this).

Do you work with all age groups?

WNY Nutrition PLLC currently only works with adults/geriatric clients. Custom Dietetics PC's Registered Dietitian Nutritionists enjoy working with all age groups, from toddlers through geriatric. With younger clients it is a family affair and we require a parent to be involved in the session(s). Once your children are teenagers we find it is beneficial to work with them privately and will share pertinent information with the parent, only with the teen's permission. Please contact Custom Dietetics PC if you require an RDN that works with infants, children and teenagers. www.customdietetics.com

Can I contact you between appointments if I have a question?

Yes, if you have a quick question or need us to clarify information from a session we can be reached via email or at our office phone number. For multiple questions or a more in-depth discussion we would be happy to set up a 15-30 minute phone or email consultation or save your questions for your next scheduled appointment. Insurance does not pay for phone/email consults. But they may pay for video conferencing (telehealth).

Do you sell dietary supplements?

We recommend high quality, GMP certified dietary supplements and will assess if there is a need, based on the medications/supplements you take, your current medical/health condition, and the goals you are trying to achieve. We may recommend supplements, but they are not required. We utilize an online store that is convenient for you to order with minimum requirements for free shipping. We also refer out to knowledgeable stores/practitioners in our area if you desire to purchase supplements in store or in an office setting.

Once we create a plan together, do I need to come back?

In most cases, particularly weight loss/chronic illness, it is vital to have an ongoing relationship. You did not put the weight/health condition on overnight and it will take time to take weight off, healthfully, and change the habits and thinking that got you there in the first place. As a client approaches his/her goals or enters the maintenance phase we will taper off the sessions. Sessions in the maintenance phase will: usually evaluate your current body composition/weight, provide accountability to make sure you are staying on track with your goals, answer any questions you may have, and device a strategy if you have had any barriers to your success or need to tweak your goals/action plans moving forward.

What is the difference between a Registered Dietitian Nutritionist and a Nutritionist?

We love this question!

A Registered Dietitian Nutritionist has been educated in the science of nutrition, food science, biochemistry, etc. and has a minimum 4-year college degree focused on nutrition – many have their master's degree in nutrition. A dietitian has also completed a rigorous dietetic internship, which gives 900 supervised hours of experience in the in-patient and outpatient hospital setting as well as within the community. The successful passing of a very comprehensive examination must be achieved. A registered dietitian is required to have ongoing continuing education to keep abreast of the latest research in the field, with a minimum of 75 CEUs per 5-year duration. And finally, the Academy of Nutrition and Dietetics, which keeps the patients interests in the forefront, governs the activities of Registered Dietitian Nutritionists.

On the other hand, anyone can call themselves a nutritionist. They are not required to have any formal nutrition education or training and there is no governing body regulating their practices. Your "nutritionist" could be very well educated or a complete amateur. For your safety and well-being, don't be afraid to ask questions.

What makes you different from other Registered Dietitian Nutritionists in the area?

Based on the feedback we receive from our clients who have worked with other dietitians in the area, we believe we stand out in many various aspects.

  • Firstly, we work as a team with your other healthcare professionals to assure you are getting the best treatment based on your health status.
  • We are professional, yet nurturing, and love helping other people. Our office has a relaxing, peaceful atmosphere; it is not a sterile medical environment, yet our education is completely research-based. You are getting the best of both worlds.
  • We make a plan that has been tailored to your food preferences and lifestyle so you will be successful. We don't believe in "diets" and deprivation so we don't have cookie-cutter diets that we prescribe to all our clients. We work together with you to create a healthy, well-balanced lifestyle plan that you will be able to follow for the rest of your life.
  • We don't believe our patients need to come to us forever. We recognize when a client has stabilized their condition and has the tools to continue to succeed on their own. We are also aware when a patient is stuck, no longer making progress, and may benefit from using their money in other ways, such as personal training, psychotherapy, etc. to get them back on track.
  • We want to be instrumental in assisting you in reaching your health-related goals and are realistic in knowing we cannot assist in all areas of your life; therefore, we oftentimes refer our clients to other exceptional healthcare professionals.