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-> Health & Wellness
-> Healthy Lifestyle/ Weight Loss/ Exercise
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amother
OP
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 Tue, Dec 17 2024, 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
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Tue, Dec 17 2024, 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
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Tue, Dec 17 2024, 6:46 pm
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you hae to show medical need. I have oxford and it's not a problem BH
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amother
Hunter
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Tue, Dec 17 2024, 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
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Tue, Dec 17 2024, 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
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Tue, Dec 17 2024, 7:02 pm
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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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amother
Navyblue
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Thu, Dec 19 2024, 5:13 pm
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Call your insurance and find an in-network nutritionist/or in network doctor who does shots. Call them and ask if they have experience what is/isn't covered. Might be easiest way to get a straight answer.
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amother
Ruby
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Thu, Dec 19 2024, 8:46 pm
My cholesterol is too high. I got mine approved easily and fully paid for
eTA my BMI is high as well
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amother
Oxfordblue
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Thu, Dec 19 2024, 10:05 pm
| amother Hunter wrote: | | For example? I have Oxford too. Is obesity enough of a medical need ? | Generally yes.
Im a medical biller for a nutritionist. Sometimes pair it with unexplained weight gain.
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