Every insurance is different. Some allow unlimited medical nutrition visits, some are based on medical necessity, and some offer a set number of visits every year. 
For CKD, Medicare allows only 3 nutrition visits for the first year, and 2 visits for subsequent years. Research has shown that lifestyle changes take time and is possible  only with consistent counseling and support.  
In order to receive continued support and guidance, I am offering follow-up bundles, which can be used after insurance benefits have exhausted.