Frequently Asked Questions

Answers to common questions about insurance, appointments, feeding concerns, and how our team supports your family.

Do you take insurance?

Yes — VT and NH Medicaid and most major plans. Nutrition care is usually covered as medical nutrition therapy, and most families pay little to nothing out of pocket. We verify your benefits before the first visit so there are no surprises.

What ages do you work with?

Primarily infants through teens, and we support the whole family system around them — because feeding is never just about the child. Our team works with you, the parent, right alongside your child.

My child eats fewer than ten foods. Can you actually help?

This is exactly who we help. A short food list isn’t stubbornness — it has reasons, and once we find your child’s reasons, we can build from where they are. No pressure, no tricks, no ‘just one bite.’

How is this different from feeding therapy with an OT or SLP?

It’s not either/or — it’s both, on one team. Feeding therapists (OT/SLP) work on the skills of eating: chewing, swallowing, sensory tolerance. Our dietitians work on the nutrition and whole-child picture: growth, nutrient gaps, gut health, mealtime dynamics, and the plan that ties it together. In our Community Feeding Team, those providers sit on the same team, share one record, and work from one plan. And if your child already has a feeding therapist you love, we coordinate with them — we’re happy to team up, not replace.

What happens at the first visit?

Ninety minutes of actually being heard. You start with one of our dietitians, who goes through your child’s full story — medical history, growth, what eating looks like at your table — and leaves you with a plain-language picture of what’s going on and the first one or two steps. From there, we help figure out who else your child needs on the team. Not a 40-item to-do list.

Does telehealth really work for feeding challenges?

Surprisingly well — often better. Your child eats in their real environment instead of a strange clinic, we see actual mealtimes instead of best behavior, and there’s no car-seat meltdown before the appointment. Families tell us it’s the first care that fit their life.

My child has a feeding tube. Do you do tube weaning?

Yes — it’s one of our specialties. We take an evidence-based, nervous-system-paced approach to weaning readiness and transition, including blended diet support, always in coordination with your medical team. No crash protocols.

Do I need a referral from our pediatrician?

Usually not — most families can book directly. Some insurance plans require one; we’ll check that during benefit verification and help you get it if needed.

Which states do you serve?

Our dietitians are licensed for telehealth medical nutrition therapy in 21 states (see the full list on our Insurance & States page). If yours isn’t on it, ask about our nationwide coaching options.

What does it cost without insurance?

We keep self-pay transparent: $240 for the initial 90-minute visit, $160 for 60-minute follow-ups, and $80 for 30-minute coaching sessions. We’ll also provide superbills you can submit for out-of-network reimbursement. And in Vermont, we work with community organizations that help families pay for medically necessary care — from appointments insurance won’t cover to vitamins and feeding equipment. Just ask us. Money should never be the reason a child doesn’t get feeding help — talk to Natalie about options.

Will you talk to my child's other providers?

Always. Within our Community Feeding Team, your dietitian, feeding therapist, and mental health clinician already share one record and one plan. And we coordinate outward too — notes back to your pediatrician, GI, schools, and early intervention, plus direct communication with any providers your child already has. You stop being the messenger — that’s part of the job description.

Honestly, I've tried everything. Why would this be different?

Because ‘everything’ was probably built for typical picky eating — and your child isn’t a typical picky eater. We start with why your child eats the way they do, then build a plan for that child. Different starting point, different results. And you’ll never hear ‘they’ll grow out of it’ from us.