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Forum -> Health & Wellness -> Healthy Lifestyle/ Weight Loss/ Exercise
Insurance covering nutritionist or shots, how?



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amother
OP


 

Post Today at 12:36 pm
My insurance doesn't cover anything meant for weight loss/obesity.
However, if it's medically necessary they may cover it. Anyone have experience with this? I have high cholesterol, blood pressure... Anyone know if this would help get it covered? (Nutritionist/shots)
I've been back and forth with my doctor and insurance so many times and I'm still getting nowhere.
Thank you in advance!
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amother
Smokey


 

Post Today at 12:58 pm
In general just wanting to lose weight isn't sufficient.

In general you would need a disease that is specifically linked to obesity or nutrition like diabetes.
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chocolate moose




 
 
    
 

Post Today at 6:46 pm
you hae to show medical need. I have oxford and it's not a problem BH
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amother
Hunter


 

Post Today at 6:51 pm
chocolate moose wrote:
you hae to show medical need. I have oxford and it's not a problem BH


For example? I have Oxford too. Is obesity enough of a medical need ?
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agreer




 
 
    
 

Post Today at 6:54 pm
High cholesterol or blood pressure isn't enough of a need according to insurance standards.
Neither is "just" obesity (as you can have normal blood levels).

It needs to be something "bigger" R"L like diabetes, PCOS, etc. If you can document that, then you are good.

Ask your insurance company for the list of what constitutes medical necessity and see if you meet any of that criteria.
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amother
Lemonlime


 

Post Today at 7:02 pm
Dh had a nutritionist covered for many years since his sugar is high and he has high blood pressure. Now that he's diabetic, Ozempic is covered.
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