Medicare Clients

Medical Nutrition Therapy (MNT)

Medical nutrition therapy is covered by Medicare Part B for diagnoses of diabetes, non-dialysis kidney disease, and 36 months post kidney transplant when a Medicare beneficiary has been referred by a physician.

Medicare Part B coverage

Medicare covers 3 hours of MNT the initial year of referral and up to 2 hours of MNT for subsequent years. Hours are based on calendar year and cannot be carried over from year to year.

Additional coverage is available in the same calendar year with a second referral when more MNT is medically necessary.

Summary of Benefits:

  • 3 hours on MNT during the 1st calendar year
  • 2 hours of MNT during the 2nd calendar year
  • No co-pay required


  • Referral from physician required
  • Only Florida Medicare is accepted
  • Medicare plans offered by private insurance companies or managed care organizations are not accepted

My Approach At A Glance

Consultation & Assessment

You and I, we’re a team. Your weight loss and health goals and dreams become my own. These specialized high-touch sessions are designed to achieve quick ‘wins’. I will provide the support, strategies, tools and techniques to build a solid nutrition foundation to set you up for success in any situation. We’ll also make sure you stay in a successful mindset, keeping you confident, motivated, and unstoppable.

Follow-ups & Accountability

We see each other on a regular basis, so you’re always motivated and on track toward your goals. We will track your progress, where you need extra help or questions answered during each session. You will leave each session with specific next steps and goals moving you forward in your journey.

Personalized Support

You will receive worksheets, templates, and handouts that provide step-by-step guidance, tips and good practices. During each session your will receive personalized nutrition coaching and lifestyle counseling. Most importantly, you’re not alone between sessions with email support, text support, and quick phone chats.


Working With Me

I coach with empathy and authenticity – based on specialized training as a registered dietitian, practical experience in helping others, and my own personal health challenges. I provide clients all the support they need to finally achieve permanent weight loss.


My unique solution empowers clients with the knowledge to confidently control their food choices rather than food controlling them.


As your coach, we form a partnership, I treat your health and wellness goals and personal dreams as if they are my own. During each session I will put on my “teacher” hat and lead an education session on “special topics” that are paramount to your success. These sessions are highly customized to your specific needs.


"Uncontrolled Diabetes and high cholesterol under control in 3 months. I worked with Sandra to help me get control of my Diabetes and cholesterol levels. After 3 days on program blood sugar levels down from 127 to 82! By the 3rd week, I was fitting in size 14 skinny jeans - down from size 16. By month 3, I had a remarkable decrease in labs from April 4 to Aug 7. A1c: down from 9.9 to 7.7. Fasting Glucose down from 169 to 116. LDL-Cholesterol down from 109 to 91!"

Ralphetta A.

Apopka, FL

Interested in Private Coaching?

The #1 difference in my program and what you have tried in the past is support! Two other bonuses you get with me are accountability and finally knowing what to eat! All this and more with my unique 5-Step Approach To Total Body Wellness…

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