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UHURA15 SparkPoints: (920)
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4/20/21 5:02 P

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Will Medicaid pay? Or Medicare? I could really use some one on one or something. If they do pay do you have to be a lot overweight-a certain number of pounds or something? Could a regular doctor help with these types of questions? Or do I mean nutritionist and not dietitian?

It seems I look at what I track and for example at 3:00 today I can have protein and carbs and have plenty of calories left. But no fiber or fat. Or some days at night I cannot have calories or fat but can have plenty of carbs and fiber or other problems. I just can't get it right.
I am a vegetarian. I don't eat meat, eggs, or fish. I don't drink milk but do eat other dairy. I have no cooking skills.

DAILYSHARON's Photo DAILYSHARON SparkPoints: (15,184)
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4/20/21 8:29 P

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I would think MediCare would pay. I have a MediCare supplement and do see a dietician every year, but it might depend on your state Medicaid program. Maybe if you meal plan your day starting with dinner and working backward that will work better.

SLIMMERKIWI's Photo SLIMMERKIWI Posts: 35,756
4/20/21 11:23 P



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Given I live in New Zealand I cant answer your query regarding paying for a Registered Dietitian, but if your insurance doesn't pay (I know that from what people here have said sometimes they do) and if you could afford even one appointment, you would gain an immense amount of help.

You obviously track your food. Do you weigh it for increased accuracy? If not, I suggest that you do that. When you go to your appointment (with a Registered Dietitian because they MUST be registered and licensed and have undergone an intensive university degree to get there, whereas anyone can call themselves a Nutritionist, even with no certification) then take a few printouts from your Nutrition Tracker. This will save loads of time and mean that you get a lot more bang for your buck. It means that the Dietitian get accurate information rather than relying on our memory which is often very inaccurate in these circumstances.

I have done this myself and the Registered Dietitian told me her life would be sooo much easier if ALL her patients did it.

Good luck,
Kris

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MLAN613 SparkPoints: (456,595)
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4/21/21 6:49 A

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Whether or not Medicare or Medicaid will cover a visit to see a Registered Dietitian is something you would need to call them on. If you have a commercial insurance plan, you would also need to call member services. I know that commercial carriers like UHC, the various Blue Cross carriers, CIGNA, Aetna, etc are starting to cover such visits for more than just Type 2 Diabetes care.

Do you have a job with benefits? If so, you may have access to an Employee Assistance Program (EAP) and that may get you access to dietary help.

Also, you can't cook? I encourage you to start developing some basic cooking skills. It will make a world of difference for you.

Meghan in Minneapolis, Minnesota, USA


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LUANN_IN_PA Posts: 34,310
4/21/21 4:25 P

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I have seen a dietician. My insurance pays for it.

No one here can know if YOUR insurance will pay for it. You have to call them and ask. And when you do that, ask if you need a doctor's referral.

" I have no cooking skills."
Surely you have some! Seriously, how do you get to Medicare age (65), and have no cooking skills? YouTube and many cooking sites would be well worth watching! Use google and give them a try! You just might have fun to boot!


Edited by: LUANN_IN_PA at: 4/21/2021 (16:28)
"We cannot change the cards we are dealt, just how we play the hand."
~ Randy Pausch

"There's a difference between interest and commitment. When you're interested in doing something, you do it only when circumstance permit. When you're committed to something, you accept no excuses, only results."
~ Art Turock

"We have a saying in Tibet: If a problem can be solved, there is no use worrying about it. If it can't be solved, worrying will do no good."
~ 7 Years in T
UHURA15 SparkPoints: (920)
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4/21/21 5:01 P

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You can get Medicare if you qualify for it by disability even if you are not yet 65.

LUANN_IN_PA Posts: 34,310
4/21/21 5:12 P

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Thanks, I did not know that!
You still can use the internet to get some cooking skills.

"We cannot change the cards we are dealt, just how we play the hand."
~ Randy Pausch

"There's a difference between interest and commitment. When you're interested in doing something, you do it only when circumstance permit. When you're committed to something, you accept no excuses, only results."
~ Art Turock

"We have a saying in Tibet: If a problem can be solved, there is no use worrying about it. If it can't be solved, worrying will do no good."
~ 7 Years in T
UHURA15 SparkPoints: (920)
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4/21/21 5:16 P

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Thanks Luann.
Sorry I can't remember what comes after that part of your name. I do get a little of skills from that but it isn't as good. Maybe I will see what it costs after I figure out what I do know and what I need specifically from them.

MLAN613 SparkPoints: (456,595)
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4/21/21 7:29 P

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@UHURA15 You are correct. You can also qualify for Medicare prior to age 65 if you have End Stage Renal Disease (ESRD). I work for a healthcare company in the coordination of benefits team and I have learned a lot!

Meghan in Minneapolis, Minnesota, USA


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4/22/21 5:57 A

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@UHURA15 If you are looking to truly gain some cooking skills, you could maybe check your local community education. Sometimes, they have courses that aren't too expensive. Also, depending on your disiabilities, you may qualify for help to develop skills through your county/parish or state

Meghan in Minneapolis, Minnesota, USA


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NIRERIN Posts: 14,955
4/22/21 6:28 A

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Learning to do anything is difficult. It's one of the reasons that Sparkpeople recommends tracking for two weeks just to get the hang of it and get enough data to see where it is best for you to make some changes. Veg people tend to be over on carbs and under on fat so hitting that one first is somewhat unusual but it might also be a sign that you aren't tracking as accurately as you could. So make sure you are accurately tracking and see where your macros are coming from. Having smaller portions of nuts or avocado or using less oil to cook in, say a teaspoon instead of a Tablespoon, is a quick and easy way to cut down the amount of fat you are having to make room for other foods and nutrients. It typically takes time and tweaking to figure out what works for you, so it might take you a few months to get in line with where you want to be. It all depends on where you are starting and how far you have to reach where you want to go. And it's okay for it to take time.

-google first. ask questions later.

URBANREDNEK Posts: 20,351
4/22/21 9:36 A

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For your main question - I'd recommend seeing your doctor to find out whether any of your medical conditions would make you eligible for an insurance covered dietitian, and then work from there.

You could also check out your local community hospital and community college to see what they offer for courses in healthy eating and cooking (our hospitals run free or low charge meal planning and cooking courses, sometimes more general ones and other times ones aimed specifically for diabetes or low FODMAP or anti-inflammatory needs). Also check out your local sites to see whether some of your local restaurants or kitchen stores run classes (there are a few here that do basic cooking, basic kitchen skills, and some specialty food classes).

In the meantime, there are tons of resources on-line for both learning to cook and learning to plan healthier meals. I came across this one here this morning: www.sparkpeople.com/blog/blog.asp?post=the
_nostress_noguilt_approach_to_meatless
_meals
which has good reviews on Amazon for low-cost download: www.amazon.com/Easy-Vegan-Meals-SparkPeopl
e-ebook/dp/B007C4WKH8/ref=sr_1_3?s=dig
ital-text&ie=UTF8&qid=1330288173&sr=1-
3#reader_B007C4WKH8&tag=babyfitcom-20


It sounds like it has lots of information on understanding the nutrient content of foods, understanding your own nutrition needs, and tips and recipes on finding a healthy balance for yourself.

Sir Terry Pratchett: "Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."

"The Inuit Paradox" ( discovermagazine.com/2004/oct/inuit-
paradox
): "...there are no essential foods—only essential nutrients. And humans can get those nutrients from diverse and eye-opening sources. "

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DWAYNEAPRATHER's Photo DWAYNEAPRATHER SparkPoints: (15)
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6/7/21 11:43 A

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The main principle is to use your calorie limit. I recently read a book about the American approach freebooksummary.com/category/the-book-of-u
nknown-americans
to food separation. This is an art book with elements of journalism. The author helps us find out the cause and effect of society's mistakes. Diets are a trend that goes parallel to gluttony.

Edited by: DWAYNEAPRATHER at: 6/11/2021 (05:13)
SBURDEN Posts: 22,613
6/7/21 2:49 P

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yes

AEVANSNUTRITION's Photo AEVANSNUTRITION Posts: 1,243
6/8/21 6:27 P

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I am actually a registered dietitian.

You can use the EatRight.org site to locate a dietitian or if you want to be able to your insurance, you can check with your insurance company to see who might be covered locally.

RUSTY_WOODS Posts: 1,281
6/27/21 10:58 P

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I am 47, and have been on disability for about a decade, and on Medicare obviously.

My doctor gave me a referral, and I see a dietician/nutritionist at the local hospital. I pay 20% of the bill for a visit, so it is pretty cheap for me. I can only see her every 3 months.

We sit down and discuss what I have done, the results, and then work out a meal plan, and ideas.

Afterwards, I put these meals into the SP tracker, and I have examples of how I should eat.. whole days worth of menus.

If you pre-plan the weekly meals, when you put in foods off your ideas list, you may find that the orange you eat for breakfast may result in not much fiber for breakfast, and you aren't very high at lunch & dinner.. so maybe you change the orange to raspberries, which are much higher fiber, or add green beans to dinner to replace a veggies, since they are 50% fiber.

That way, every day you have balanced meals, and fit that into your daily menu, so you hit all your goals. Eventually, it becomes pretty easy.. my dietitian taught me what was high fiber foods, and if I am low, I simply change 1-2 foods. This works with macros as well. You have to pay attention to those, and calories, but usually you can add fiber without altering your calories & macros too much.

Don't track the food, after you eat.. that simply shows you what mistakes you made, after it is too late to correct the problem. Have it correct at the start of the day, and you can simply eat what you planned.. which will give you eactly what you need.

A dietitian is invaluable in helping understand what you need for your circumstances.. I have health issues which need to be addressed, so what my dietitian tells me, would not work for you.. but you have a plan for you. You simply need to sit down with a professional, ask questions, explain what you need, and let them help with the details.

Regular doctors are useless.. they'll tell you the basics, things you know.. like eat less fat, or don't overeat, or drink pop, or fast food, but they aren't experts on diet. You likely know just as much as them, and if you ask your PCP, they will not be comfortable. Hopefully, they would refer you to a dietitian, but many just wing it, and people think they have a clue, beyond the basics, they don't, because that is NOT their specialty.

A dietitian wouldn't be able to do heart surgery, so why would you general doctor be an expert on on specialty.. diet? They aren't.. they have enough of many kinds of specialties, and then choose one to excel in, like endocrinology, or surgery, and some become dietitians.

If diet is what you need to be healthy, then you need to see a dietitian, or you will end up just doing try and fail, until you figure it out, which can take years. Why do that, and read all the information, when a dietitian already did it, and can tell you?

Plus, it's the most fun you will ever have at a doctor's office. They are much nicer than most doctors... no scolding.. emoticon



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