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Payment Policies

Down to Earth Nutrition offers many payment options to make nutrition services accessible to all who want them.


As of January 1, 2022, per the Public Health Service Act (PHSA 2799B-6) a good faith estimate for services rendered shall be provided to patients by all providers and facilities (45 CFR 149.610).


Down to Earth Nutrition does not accept insurance. Down to Earth Nutrition will always clearly provide current and prospective clients with pricing for dietitian services on our website. There will be an annual price increase of $5.00 on each service. This is effective July 1st of each year


The cost for your chosen service with Down to Earth Nutrition will be clearly stated in your client agreement, which will be signed and agreed upon by both parties before services are rendered. Both parties (client and provider) will receive signed copies of this agreement. Payment is required in full at the time of service. 

Down to Earth Nutrition accepts credit card and debit card payments for all of our services. Card information is stored in Healthie's secure payment system when you register your account, in order for packages of nutrition services to be conveniently purchased, upon signing a new contract. 

Another payment option for nutrition counseling is a flexible spending account (FSA) or health savings account (HSA) for dietitian services. You can read more about them here. To utilize your FSA/HSA, you will need a Letter of Medical Necessity (LMN) from your doctor or other medical provider provided to your benefits administrator, which you can read about here.

For individual nutrition counseling only, we can provide you with a Superbill, which is an "insurance receipt". Depending on your out-of-network benefits with your insurance company, you may be eligible to receive some reimbursement.

To see if the Superbill is a good option for you, first please confirm your out-of-network nutrition/dietitian benefits with your insurance company. Providing specifics such as your nutrition-related medical diagnosis; that nutrition counseling will be conducted via telehealth; and providing billing codes 97802 (initial visit nutrition counseling) and 97803 (follow up visit nutrition counseling) are very helpful when calling your insurance company. 

Then, in order for us to complete the Superbill paperwork, we need your nutrition-related medical diagnosis from your health care provider (our contact information is below).

Reimbursement (or amount reimbursed) with a Superbill is never guaranteed. 

Contact information for Superbill:

Cristina Luibil, MS, RD, LDN

Registered Dietitian & Owner

Down to Earth Nutrition, LLC


Phone: 301.291.5676

All services are provided through a secure, HIPAA-compliant telehealth platform.


Please discuss your needs for services with Cristina through DTEN's contact form here

UPDATED ON: 10/4/2022