Nutrition Therapy Services
I provide virtual medical nutrition therapy and nutrition coaching services to adults and teens (generally 15+) wanting to make peace with food and/or improve their health using an non-diet approach. I can help you navigate:
- An eating disorder/disordered eating
- Chronic dieting
- Body image concerns
- Chronic diseases management, e.g. diabetes, heart disease, high blood pressure, high cholesterol
- Irritable bowel syndrome (IBS)
- Sports performance
Currently, I am only licensed in North Carolina and am only able to work with those residing in the state of NC, or select other states that don’t require a license to practice. If you don’t live in NC, I may be able to work with you on special case-by-case basis.
Nutrition Coaching
Nutrition coaching provides ongoing support and accountability to those looking to make lifestyle changes without the goal of treating a diagnosed medical condition. It may involve general nutrition and health education. Nutrition coaching is not covered by insurance. If you live in a state that I am not licensed in, we may be able to work together on a coaching basis, depending on your needs. Schedule a consultation to learn more!
Prefer to chat with me first? Email [email protected] or text 919-727-6172.
Not sure what to say? Try this:
Hi,
I’m looking to work with a Dietitian and came across your information. I’d like to schedule an appointment to discuss my needs and goals. Could you please let me know your availability and next steps?
Diabetes
Erin has been around diabetes for most of her life. She watched her grandmother struggle with “brittle” type 1 diabetes and saw how that impacted her food choices on a daily basis. Along with this, she is aware of how challenging this disease is for not only those with the condition, but also for those involved in the care of the person with diabetes. Erin is passionate about dispelling myths about diabetes, and educating on the numerous factors that influence risk beyond weight, diet, and exercise.
Sports Nutrition
Erin has been a runner for over 10 years. She has completed several half marathons, a full marathon, and a handful of 5, 8, and 10ks. Because of this, she understands the common challenges that come up for runners and endurance athletes. Erin loves blending intuitive eating with sports nutrition because it provides the perfect opportunity to really tune-in and see what it is your body needs for optimal performance and recovery.
Disordered Eating
Our culture supports the thin ideal, and diet culture encourages disordered eating behaviors. Erin recognizes that weight and nutrition are just one piece of the puzzle that contributes to our health. She will support you along your path to reduce anxiety and build confidence in food choices. For those who require more specialized or a higher level of care, Erin can help you connect with and build your support team.
General Nutrition
Erin has a strong clinical background and is confident counseling on a variety of medical conditions as well as general preventive nutrition.
What to Expect
Initial Session
Second Session
~55-60 minutes
I will review the goals you shared with me at our last session to make sure I heard right and allow you to clarify. We’ll pick up where we left off – usually it takes me a few sessions to get to know someone!
Follow-ups
~30-60 minutes
I often start with a goal check in, what went well, and what was hard. Often, I will ask what you had to eat yesterday, or a typical day. This is needed for insurance billing, and also helps me see if you are getting what your body needs (if that is relevant to our purpose.)
This may include some nutrition education, counseling, support, or referral to other providers e.g. medical provider, therapist, or community support.
Most appointments are 55 minutes and are recommended weekly. Some people can get what they need out of a few educational sessions; others may find ongoing support is ideal.
Insurance and Payment
I am currently in network with the following insurance companies:
- Blue Cross Blue Shield (including the NC State Health Plan, excluding Blue Home, Blue Value, and the UNC Health Exchange)
- United Healthcare
- Aetna (including the NC State Health Plan starting 1/1/2025)
If your insurance is not listed, I can file a courtesy claim to your insurance as an out-of-network provider. Payment is expected up front but you insurance may reimburse you if you have out of network benefits.
I also offer a “prompt pay” discount to those choosing to self-pay. Payment is due at time of service. These rates are as follows:
Initial Assessment: $150
Follow-up session (1 hour): $125
Credit card, HSA and FSA cards are accepted.
Good Faith Estimate
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 upon scheduling and/or as requested.
Questions to Ask Your Insurance
Not all plans cover medical nutrition therapy, even if the provider is considered “in network”. Call your insurance company to make sure MNT is covered. This number can be found on your insurance card. Download this worksheet to help guide you.
Questions to ask:
- Is medical nutrition therapy a covered benefit (procedure code 97802 and 97803?)
- Do I have nutrition counseling covered under my preventative benefits (ICD code Z71.3?)
- Does it require a doctor’s order or referral?*
- How many visits are covered per year? Is this calendar year or term year?
- Is telehealth currently covered for ANY in-network provider?
- Is there a copay?
- Is this subject to the deductible?
- What diagnosis codes or conditions are required (e.g. diabetes, hypertension, eating disorder?)
- If Erin Decker Nutrition is not in network, what are my out of network benefits?
*Many times, a referral is not necessary for payment. However, there are times I need documentation for a doctor in order to bill certain diagnoses codes. In these cases, I may ask that you obtain a referral.