Improving your health and quality of life is one the best investments you can make. We offer competitive pricing for our programs and work to understand potential insurance options. Obesity treatment coverage is specific to individual insurance plans. A weight loss center insurance specialist will check your benefits before starting a weight loss program.
Medical Weight Management
Medical weight loss programs include options for discounted self-pay appointments and meal replacement products but still cover visits with an obesity medicine physician. Insurance benefits may cover a portion of the program specific to diagnosis and medical necessity.
It is important to consider the overall costs and potential benefit.
- Discounted self-pay programs for pre-payment.
- Insurance coverage for physician appointments.
- Labs may be covered at specific locations per individual policy.
- Meal replacement products replace normal grocery costs and, in many cases, less expensive overall. These products contain the proper nutrition needed and make food planning easier.
- Nutrition benefits may be specific to a diagnosis.
- Virtual group visits save per appointment costs.
- Nutrition benefits may be limited to a certain number coverage period.
It is important to review your benefit plans before staring a program and ask our insurance specialists questions.
A patient advocate will review costs and payment options based on the individual weight loss plan.
Metabolic and Bariatric Surgery
There are more weight loss surgery options available than ever before, but insurance coverage can be difficult to understand. An insurance specialist will check your benefits and review detail prior to scheduling the first appointment. Insurance benefits typically include bariatric surgery with specific requirements.
Qualifying Body Mass Index
Most insurance policies, including Medicare and Medicaid require surgery candidates have a BMI of 40 or 35-39.9 with an obesity-related condition such as diabetes, hypertension, or obstructive sleep apnea, and the procedure determined medically necessary. Metabolic and bariatric surgery is recommended when BMI is 35 or 30 or greater with a metabolic disease such as diabetes.
Insurance specific requirements may include:
- Physician supervised visits.
- Medical nutrition counseling.
- Behavioral health evaluation.
- Cardiac and other clearances.
- Nicotine free.
- Sleep apnea compliance.
- Documented weight loss history.
- No weight gain while in program.
- Other required testing including labs.
Some insurance policies may include limits to their coverage in terms of lifetime benefit, so it is important to understand the individual policy. Bariatric surgery may not be covered the same as other surgeries.
Self-pay Options
If bariatric surgery is excluded from your benefits, we offer a bundled pricing structure that includes appointments before and after surgery. Pre-payment is required two weeks before surgery and covers all appointments for one year. A patient advocate can provide an estimate, and you are required to sign a financial agreement that includes BLIS Care complication protection.
If you are interested in finance options, you may visit e-finance solutions here. E-finance solutions is available for patient convenience. Correspondence, loan application, and status is between patient and the lender. We encourage patients to review options that best meet your individual needs.
eFINANCING SOLUTIONS
- No impact to credit score for pre-approval.
- Terms from 24 to 84 months.
- No down payment or upfront fees.
- Loan funds in 2 to 3 days.