Dietitian | Koru Nutrition Inc.

How Much Does a Dietitian Cost?

Kylie James — Sat, 02 Apr 2022 12:00:20 +0000

Whether you are a client, referring practitioner, or an insurer it can be confusing to determine the appropriate cost to consult with a dietitian. So, to help you in your decision-making process, we compiled some research into the rates that Registered Dietitians (RDs) charge in Ontario.

How Much Does A Dietitian Charge?

The College of Dietitians of Ontario indicated that “RDs should ensure that their billing practices are accurate, transparent and reflective of the dietetic services provided. Charging a fee that is excessive for the dietetic service provided could be considered professional misconduct. While the College doesn’t have fixed charges or specified maximum fees for dietetic services, at some point a high fee can become excessive. Charging a very high fee becomes particularly concerning where a client is financially vulnerable or incapacitated”.

The Consulting Dietitians Network of Dietitians of Canada provided an updated fee guidelines report for private dietitians in Ontario in 2019. In the province of Ontario, the average hourly rate for nutrition assessments was $125 an hour (range was between $60 and $199 an hour) with hourly rate follow-ups at an average $122 an hour (range of $60 to $199). For Toronto specifically these rates were higher with an average of $139 an hour for an assessment and $119 an hour for treatment. It is important to note that these were provided in 2019 and it is anticipated that these rates are likely higher now given inflation.

We also interviewed 6 dietitians currently practising privately in Ontario including clinicians from Toronto, Ottawa, Owen Sound, and Thunder Bay. They all indicated the average private rate that they charge is $150 an hour, although they indicated that in their experience in their industry the private rate ranges from $120 to $180 an hour.

Insurance or Benefits Coverage for Dietitian Services

Dietitian’s services are insurable in Ontario. Many extended health benefits programs and other plans such as Blue Cross for Veterans Affairs will cover the cost of a dietitian. Each individual plan is different, so it is best to check-in with your insurance or benefit provider for more details.

How Much Does A Dietitian Charge In The Motor Vehicle Accident (MVA) Industry

For individuals that have been involved in a motor vehicle accident (MVA) there are additional tasks, forms, travel time, report writing and communication amongst the rehabilitation team required. Thankfully, dietitian’s services can be covered by your auto insurance following an MVA.

Registered Dietitians are not listed in Financial Services Commission of Ontario’s (FSCOs) professional fee guidelines, the government organization that oversees the auto insurance industry. The amounts payable by an insurer related to services not covered by the Guideline are to be determined by the parties involved.

In short, relating to motor vehicle accidents there are no fee guidelines identified by FSCO for Registered Dietitians. As a result, most dietetics providers in this industry tend to follow guideline fees that are similar in disciplines and qualifications such as occupational therapists, physiotherapists and registered nurses; which have similar education, salaries and private rates. Based on the FSCO guidelines for these disciplines Dietitians adhere to the $119.92/hour for cases involving catastrophic injuries (CAT files) and $99.75/hour for cases involving non-catastrophic injury (non-CAT files) These are the same rate for occupational therapists (OTs) and Physiotherapists (PTs).

The National Occupational Classification (NOC) lists Registered Dietitians in Major Group 313, one group above Occupational Therapists and Physiotherapists (Major Group 314), one group below Chiropractors (Major Group 312). Based on NOC’s classification of Registered Dietitians in relation to other Regulated Health Professionals, the $99.75/hr or $119.92/hr fees for a Registered Dietitian practicing in Ontario in the MVA industry are more than reasonable, if not a minimal, fee to charge.

Further, in reviewing an Independent Evaluation report dated November 2020 for a motor vehicle accident client by Dynamic Functional Solutions, an Independent Medical Evaluations company, the Dietitian Elke Sengmueller, B.A.Sc., RD recommended that the hourly rate for dietitian services in the MVA industry should be $125 an hour.

Summary

It’s important to take into account a Dietitian’s industry and insurance coverage options when determining the cost to consult a dietitian. Whether you are seeking a dietitian to address personal health concerns, are a professional hoping to refer a client for complimentary care, or are in the insurance industry seeking additional information about cost, we hope the above helps you make an informed decision!

If it’s right for you, we welcome you to book now with Koru Nutrition or to make a referral.

The post How Much Does a Dietitian Cost? first appeared on Koru Nutrition Inc..

Top 5 Questions To Get Answered Before Seeing A Nutritionist Or A Dietitian

Kylie James — Mon, 17 May 2021 20:55:01 +0000

The natural health and nutrition industry is packed with confusing messages, contradictory information, and a wide-range of professionals with varied training. So, we’ve written this article to help you consider key questions to have answered before selecting a nutritionist or dietitian to help you reach your health goals.

1. What Is The Nutritionist’s or Dietitian’s Education?

If a nutrition professional isn’t being up-front about their credentials, that could be a concern.

Most places in the world, the title “dietitian” is protected and refers to a regulated health profession, meaning only individuals who have completed the necessary 4-year university degree, a one-year intern at a hospital, and passed their board exam can use the title.

Conversely, the title “nutritionist” is not protected and nutritionists are not regulated health professionals. This means that someone can do a weekend or a basic nutrition course and legally call himself or herself a nutritionist and this is where a lot of confusion can occur. This doesn’t mean you shouldn’t see a nutritionist, just that it’s important to understand the individual’s specific training first.

In Ontario the main nutrition schools are the Canadian School of Natural Nutrition which awards the title Registered Holistic Nutritionist (RHN), The Institute of Holistic Nutrition with the designation Certified Nutrition Practitioner (CNP) or Edison School of Holistic Nutrition. This can be a 1-2 year program and once graduated nutritionist’s gain a diploma. During their training they are educated on sciences such as biochemistry, nutrition pathology, symptomatology, anatomy and physiology much more. All of Koru’s nutritionists have graduated from at least one of these institutions.

Click here for more information on the difference between a nutritionist and a dietitian.

2. How Does a Nutritionist or Dietitian Charge?

There are a few aspects to cost that are wise to consider:

Firstly, what their hourly rate is and do they have packages or value-added offerings?

Secondly, if you have extended health benefits, it is also important to consider if your individual plan will cover a dietitian, a nutritionist, or both. For example, if you only have benefits coverage for dietitians, it may sway you to choose a dietitian to work with.

Thirdly, if you are requiring services that are more specialized to your diagnosis and required additional training, that individual will most likely command a higher hourly rate.

Lastly, if funds are tight ask the clinician what strategies or recommendations they can provide to help implement a nutrition program if finances are limited. You won’t get the best bang-for-your-buck if you’re paying for a service, but then the food and meal recommendations are too expensive for you. While working with a nutrition professional you might be paying more for certain foods such as produce, but you are likely to be saving on food costs in other areas such as reducing take-out foods.

For more information on how much a nutritionist or dietitian charge please check out our articles.

3. How Will The Nutrition Program or Support Be Delivered?

Having awareness of your individual weaknesses and strengths, as well as your personal preferences, will help you choose the best nutrition professional to work with.

Are you going to need regularly scheduled support or accountability? Then look for programs where that can be built into the structure.
Are you going to struggle to make a lot of changes at once? Then you need more of a program that allows you to take baby steps and regular sessions.
Do you want to dive right in with a complete overhaul? Then you may be able to complete a few sessions or receive a nutrition protocol and self-manage from there.
If you’re looking for a meal plan, can the nutrition professional provide it?
Are you more interested in number-based facts and recommendations focused on calories, fats, protein, and carbohydrates? The check with the clinician is this so something that they can provide.

Of course, it’s also important to make sure that the nutrition professional can factor in your lifestyle. Different strategies will work better for busy working moms compared to elite athletes, or may be dependent on cultural needs as well. Both the cost and nutrition recommendations should not only be achievable and realistic, but also sustainable over the long-term.

Whether you find this information on a website, call an office, or speak directly to the nutrition professional– it’s important to have confidence that you’ll receive nutrition recommendations that are going to work for you.

4. What Specific Experience Does The Nutrition Professional Have With Your Specific Health Concern(s)?

Nutrition and supplementation can be complicated. Certain “healthy” foods can actually be problematic for specific individuals.

If you have general health goals such as losing weight, having more energy, or sleeping better then most nutrition professionals would be able to help you reach your goals. If you are looking for someone to help address specific health challenges such as Autism, spinal cord injuries, multiple sclerosis, or brain injury the clinician needs to have specific training and/or experience. If your needs are medically-based such as kidney disease, uncontrolled diabetes, or related to bariatric surgery then we’d recommend you specifically seek out a dietitian.

Take a look at the nutrition professional’s biography. What does it tell you about their personal, educational, and clinical experience? Can you find any reviews online? This information can help you choose the right professional for your individual circumstances!

5. What Tools Does The Nutrition Professional Use In Their Practice To Help You Stay On Track?

Each individual is different with regards to what educational strategies, testing options, tracking processes and/or motivational factors will be of the biggest benefit. Are you looking for:

Regular check-in sessions
Food tracking apps
Computerized analysis of their food journals
A Facebook group or community support group
Tracking body measurements or the use of a body composition machine
Lab and blood work tests
Education and resources, (handouts, websites, books and groups)

Weekly Individualized Meal plans. Often, nutrition professionals will provide a combination of the above, plus they may help you explore support systems within your family or strategies within your home to help keep you on track. The list can be extensive but the motivating strategies needs to be individualized and based on what’s going to work for you.

Are You Ready To See A Nutritionist Or Dietitian?

We hope that the above helps provide some insight into finding the right nutritionist or dietitian for you.

Your health is important, so finding the right professional for you is a critical aspect of your health journey.

If you are ready to book a session with Koru Nutrition, click here.

Or, we welcome you to reach out to Koru’s founder, Kylie James, so she can help match you to a practitioner who is most suited to your unique situation, whether that’s at Koru Nutrition or via referral.

The post Top 5 Questions To Get Answered Before Seeing A Nutritionist Or A Dietitian first appeared on Koru Nutrition Inc..

The Difference Between a Dietitian and a Nutritionist

Kylie James — Sun, 16 May 2021 14:00:28 +0000

For a long time, there have been reports of a huge divide between nutritionists and dietitians. But, is this divide real or just a lack of understanding on what each discipline can offer and do?

Through this article, we will help to explain the difference between a dietitian and a nutritionist and dispel some of the myths surrounding both professions!

Education

A dietitian must complete a 4-year university degree and demonstrate core competencies, which can be done via a one-year internship or by completing a master’s degree. At that point, they are eligible to write a Registration exam, which would permit them to work in the field. The term “dietitian” is a protected title that guarantees someone has undergone all of the above education and training, and is properly registered.

Nutritionists receive a diploma after one or two years of schooling, which usually includes case studies, a co-op placement and/or exam. Although there are great nutrition schools in Canada, not everyone who calls themselves a nutritionist, has adequate training. The title “nutritionist” is not a protected title in most provinces, meaning that someone who has taken a weekend course or basic training can legally call themselves a nutritionist. This information is not meant to serve as a deterrent to consulting with a nutritionist, rather as reason to understand an individual’s specific training.

Dietitian training is academic, quite theoretical, science and institutional based and provides nutrition approaches that have been already proved through research. Nutritionist training is also evidence based with theory and science, although tends be a more holistic, with a more hands on approach and with more practical tools and strategies.

Regulation

Another important distinction is that dietitians are regulated and nutritionist are not. The job of regulation is to protect the public, not the practitioner. So, to become regulated in Ontario for example, a profession must prove to be a danger to the public. This is a major factor into why nutritionists are not regulated, as they do not break the skin (with needles, for example)

Many people hold regulated health professionals in higher regard, however regulation does come with its drawbacks. In addition to the high costs associated with regulation, dietitians are bound by very strict guidelines and rules. Since nutritionists are not regulated, they are not bound by the same restrictions or regulations and have more freedom to recommend nutrition strategies that are newly emerging in science but as yet to have the vigorous studies to consolidate specific outcomes.

Supplements

Dietitians can recommend supplements such as vitamins and minerals based on the Recommended Dietary Allowance (RDA), and only in certain circumstances where the need is higher can they recommend an increased dose, but once approved, it can only be prescribed by a doctor. Though they can recommend a supplement where there is a known deficiency, they are not allowed to recommend orthomolecular/therapeutic doses of nutrients, herbs such as adaptogens, enzymes, or essential oils, while nutritionists can. Unlike nutritionists, dietitians are prohibited to make profit from the sale of supplements.

Dietitians tend to rely on supplementary products such as Boost and Ensure since these are accessible in hospitals, stores, and the local pharmacy, as well as long term care facilities. Nutritionists often avoid these products and tend to rely on more natural options, taking care to avoid sugars, additives, and preservatives found in local health food stores.

Canadian Food Guide

Canada’s Food Guide has, in the past, been the template for the actions of dietitians; while nutritionists rely on the information divulged by the client to build an individualized protocol. That said, individual dietitians vary in their approach with the Canadian Food guide, some follow it “loosely” and others who follow it completely. However, the newest version of Canada’s Food Guide is actually a much better representation of a healthy diet plan and brings the two disciplines closer from an overall nutrition perspective.

Medical Versus Alternative Medicine

Dietitians are trained to work in hospitals, long-term care facilities, and supermarkets, often alongside or under family doctors and tend to follow a more medical approach to adjusting dietary habits. Dietitians can, at times, be more calorie focused and make macronutrient recommendations regarding protein, fat and carbohydrate amounts in the diet. That said, many of the “new school dietitians” are now focusing on a more holistic approach and consider more than just “calories in versus calories out”.

Nutritionists are often seen working alongside Naturopathic Doctors or Chiropractors, in health food stores, or in private practice. Most nutritionists follow a holistic approach which focuses on implementing therapeutic foods, supplements, lifestyle recommendations, and trying to support the body through addressing underlying root causes of health imbalances. Most frequently, people turn to a nutritionist when they feel their health needs were not met by conventional medicine.

The distinct approaches lead to the realization that dietitians use their expertise to address medical conditions and have a tendency to follow a medical model, while nutritionists have freedom outside the medical model and are focused on restoring or maintaining optimal health and finding root cause.

In Summary

Making the decision to consult with a nutritionist or a dietitian is based on your individual needs, comfort level, and values.

We have both nutritionists and dietitians on our team at Koru Nutrition! It is hoped that the information above has helped provide insight into what would be the best approach and clinician for you!

If you feel ready, you can book here with one of Koru Nutrition’s dietitians. Or, you can book here with one of our nutritionists.

The post The Difference Between a Dietitian and a Nutritionist first appeared on Koru Nutrition Inc..