New Clients

Intake Information

Julie Office

After making your first appointment, you will need to register for our Patient Portal, and then once logged in, complete a series of online questionnaires that provide us with necessary information for billing purposes and for nutrition counseling. These questionnaires will take 30-45 minutes to complete. You can start filling them out, and then save to finish them later. The most important thing is to make sure you submit the questionnaires before the start of your first visit. If you have any questions about these questionnaires, please contact us at 206-853-0534.

Insurance & Pricing Information

The nutritionists at Starkel Nutrition are credentialed with many health insurance carriers (please see below), many of which cover for medical nutrition therapy or preventative services in nutrition. Each insurance company has many different plans, which may or may not cover nutrition. It is your responsibility to know the details of your plan, including whether the plan covers our providers for nutrition, nutritional counseling or dietary surveillance under preventative services.

Please consult with your individual insurance policy to verify your coverage so that you are aware of your responsibilities.

As a courtesy to you, we will bill your insurance company for services at our clinic. You will be responsible for any co-pays due at the time of service, and you will be billed later for remaining balances for deductibles or coinsurance, or visit fees (if your insurance didn’t cover the visit).

Here are some general questions you may want to ask your insurance carrier in order to determine your coverage:

  • Do I have insurance coverage for nutrition, nutritional counseling, medical nutrition therapy or dietary surveillance under preventative services?
  • What is my Out-of-Network and In-Network coverage? Is the clinic, Julie Starkel Nutrition, In-Network?
  • Do I need a PCP (Primary Care Physician) referral or pre-authorization to schedule appointments?
  • Do only certain diagnoses qualify for nutrition counseling coverage? If so, which diagnoses qualify?
  • Do I have a deductible to cover?  If so, how much? Do I need to fulfill the deductible before my insurance will begin covering sessions?
  • How many nutrition sessions do I get per year or per lifetime?
  • Do I have a co-pay/coinsurance?  If so, how much per visit?

At Starkel Nutrition we believe that everyone should have access to our services regardless of insurance coverage. We offer discounted out-of-pocket rates and various packages (which further reduce the rate per session) for clients without insurance coverage. To see our fee schedule, click here »

Starkel Nutrition is credentialed with the following insurance companies. Each plan under these carriers may have different coverage for nutrition, always check with your insurance provider for specific benefits and coverage.

  • Blue Cross Blue Shield
  • Regence Blue Shield, Uniform, Bridgespan
  • Aetna
  • Kaiser Permanente: Access PPO, Options PPO, or Omni PPO
  • First Choice (some plans)
  • Cigna (some plans)
  • Premera Blue Cross/LifeWise

Cancellation/No-Show Policy

We have a 48-hour cancellation policy (or 2 business days), with a $175 late cancellation fee, which cannot be billed to insurance. We try to refill cancelled spots so that we can accommodate all clients waiting to see us. Thank you for helping us do this.

Please let us know as soon as possible if you need to reschedule an appointment. The easiest way to reschedule is to go online by clicking on one of the above links, cancel your current appointment and then reschedule a new one. This option is only available for appointments two days or more out. If you are cancelling within two days of your appointment, or do not want to use the online scheduling tool, please call the office.

Medicare/Medicaid and United Health Care

At this time, we do not accept Medicare or Medicaid as they do not have adequate coverage for nutrition, even if you have secondary insurance with one of the insurance providers noted above. Specifically, they only cover RDNs (Julie, Gretchen, and Siona) and not CNs (Aster and Grace), but more importantly they only cover nutrition services for Diabetes and End Stage Renal Disease. In addition, Starkel Nutrition does not accept United Health Care as we are considered out-of-network, which means the visit is rarely covered. We can provide you with a superbill that you can submit for possible reimbursement by Medicare, Medicaid, and/or United Health Care.

Non-insurance Clients

We offer discounted out-of-pocket rates and various packages (which further reduce the rate per session) for clients without insurance coverage. To see our fee schedule, click here »


  • This field is for validation purposes and should be left unchanged.

Pin It on Pinterest