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Medical Weight Loss Clinic Covered by Insurance Q&A

Medical Weight Loss Clinic Covered by Insurance Q&A

Inspire Medical Group offers medical weight loss programs that may be covered by certain insurance plans, depending on your provider and specific coverage. Our team will work with you to verify insurance eligibility and create a customized plan tailored to your health needs. Achieve your weight loss goals with professional guidance. Contact Inspire Medical Group today to explore your options and coverage or book an appointment online. We are conveniently located at 333 West El Camino, Suite 230, Sunnyvale, CA 94087.

Inspire Medical Group offers medical weight loss programs that may be covered by certain insurance plans, depending on your provider and specific coverage. Our team will work with you to verify insurance eligibility and create a customized plan tailored to your health needs. Achieve your weight loss goals with professional guidance. Contact Inspire Medical Group today to explore your options and coverage or book an appointment online. We are conveniently located at 333 West El Camino, Suite 230, Sunnyvale, CA 94087.
Inspire Medical Group offers medical weight loss programs that may be covered by certain insurance plans, depending on your provider and specific coverage. Our team will work with you to verify insurance eligibility and create a customized plan tailored to your health needs. Achieve your weight loss goals with professional guidance. Contact Inspire Medical Group today to explore your options and coverage or book an appointment online. We are conveniently located at 333 West El Camino, Suite 230, Sunnyvale, CA 94087.

Table of Contents:

How do you qualify for medical weight loss?
How can I obtain a weight loss prescription?
How much do weight loss injections cost?
Does insurance cover weight loss medication?

How do you qualify for medical weight loss?


At Inspire Medical Group, Dr. Steve Kim and his experienced team are dedicated to assisting individuals who are struggling with being overweight or obese. Providers at our practice perform a comprehensive assessment of your health and lifestyle as well as your personal goals and determine your eligibility for a variety of weight loss interventions such as medical weight management programs, prescription medications, vitamin B12 injections, nutritional counseling and management, and more.

The first step in this process is evaluating your Body Mass Index (BMI). This measurement, calculated by dividing a person’s weight by the square of their height, serves as a primary eligibility criterion for weight loss interventions. Patients who possess a BMI of 30 or above who are categorically obese as well as those who are overweight with additional health concerns are typically able to qualify for these interventions. Depending on the weight loss program these criteria will differ.

However, BMI is not the only factor taken into account. We will also look at any existing health conditions such as heart disease, type 2 diabetes, high blood pressure, sleep apnea, non-alcoholic fatty liver disease, arthritis, and infertility. Your lifestyle is also evaluated, considering both your level of physical activity and dietary habits.

Psychological factors can often contribute to weight gain or work to impede weight loss. If you are dealing with stress, depression, or other mental health issues, we are prepared to address those challenges. Moreover, your personal readiness and motivation to lose weight are vital for successful, long-term weight loss.

How can I obtain a weight loss prescription?


Acquiring a weight loss prescription is not as simple as making a request; it necessitates several steps followed by an in-depth medical examination. The procedure begins with a discussion and consultation with our experienced healthcare professionals. They will evaluate your health comprehensively, considering factors such as your weight history, diet, physical activity level, and the presence of any underlying health conditions.

Before Dr. Kim can authorize a weight loss prescription, he first needs to evaluate if you’re overweight or obese. This evaluation is generally done by calculating BMI. If your BMI is 30 or more, or if it’s 27 or higher and you have a related health condition, then you might be a suitable candidate for prescription weight loss medication. Factors like a history of unsuccessful weight loss efforts may also be considered.

There are various weight loss medications available, each with unique advantages and potential side effects. Once you are deemed a good candidate for weight loss medication, providers will review the different options with you, discuss the potential benefits as well as the side effects of each one, and choose the most suitable medication for you based on your individual needs and medical profile.

Weight loss prescriptions are not a one-stop solution. They are typically used along with lifestyle changes such as dietary changes and a regular exercise regimen. This comprehensive approach can optimize the effects of the medication and enhance overall weight loss outcomes.

How much do weight loss injections cost?


Weight loss injections have emerged as an increasingly popular choice for patients seeking to shed excess pounds. However, the cost can vary greatly, influenced by multiple factors. Prices can range from as low as $200 per month to up to $2000 per month.

The cost of weight loss injections depends on various factors, including:

Type of injection: We offer different types of weight loss injections, each carrying distinct costs. GLP-1 agonists which are highly popular for their potential to facilitate significant weight loss often range from between $600-1,800.

Dosage and frequency: The cost of the injections also depends on the prescribed dosage and the frequency of the treatment. Higher doses and more frequent injections typically cost more.

Insurance coverage: While weight loss injections are often not covered by insurance however, our team will work with you to understand your insurance coverage and the associated out-of-pocket expenses.

Before deciding on this treatment option, it’s important to consult with our healthcare professionals. They can provide a comprehensive consultation, discussing the different types of injections, dosages, and insurance coverage options.

Does insurance cover weight loss medication?


We understand that navigating the intricacies of insurance coverage available for weight loss medication can be challenging. Our dedicated team, led by Dr. Steve Kim is here to help you understand your insurance coverage and the best possible options for managing your weight. If weight loss medication is deemed necessary, staff at our practice can make such a recommendation and provide the documentation as is necessary for your insurance company.

The type of medication prescribed by Dr. Kim will be based on your specific needs and overall health. He may prescribe FDA-approved weight loss medications if appropriate.

The evaluation will consider factors such as your BMI, existing health conditions, and other relevant medical history. This comprehensive approach ensures that the prescribed medication aligns with your health goals and is justified for insurance coverage.

Insurance coverage can vary significantly depending on your plan. You can also find a list of insurances accepted by us on our website.

At Inspire Medical Group, we are dedicated to helping you navigate your insurance coverage and provide you with the most suitable treatment plan for your weight management needs. Contact Inspire Medical Group in Sunnyvale, CA, to learn more and begin your journey today. We are conveniently located at 333 West El Camino, Suite 230, Sunnyvale, CA 94087. We serve patients from the Bay Area from Sunnyvale CA, San Jose CA, Los Altos CA, Santa Clara CA to Cupertino CA, and BEYOND!