Frequently Asked Questions

If you’re thinking about starting a weight management medication, it’s important to check with your health insurance provider to see if these medications are covered under your plan. Coverage for prescription weight loss medications (also called anti-obesity medications) varies by insurance company and individual policy. Some plans do not cover them at all, while others may have specific requirements that must be met before approval.

1. Find Your Insurance Card  

Your insurance card will have a customer service phone number. This is usually on the back of the card.

2. Have Your Information Ready  

-your insurance ID number

-date of birth

-a list of the weight loss medications you are interested in - specifically Saxenda, Wegovy, or Zepbound. *

*Do not ask about Ozempic or Mounjaro if you do not have diabetes, as these medications cannot be prescribed unless you have diabetes.

3. Call the Customer Service Number and Ask These Questions:

-Does my insurance plan cover prescription weight loss medication if I meet a BMI requirement for Saxenda (liraglutide), Wegovy (semaglutide) or Zepbound (tirzepatide)?

-Do these medications require a prior authorization (PA)?

-Do I have to fail any other weight loss medications before my insurance plan will pay for these medications (phentermine, orlistat, Contrave, Qsymia)?

-What will my out of pocket cost be? (Some plans have a copay of $25 per month for the medication, others up to $1000!)

-Do I need a prescription from a specialist (obesity medicine, endocrinology, etc)?

 Prior authorizations (PA) require our team to submit detailed medical documentation, communicate with insurance companies (sometimes multiple times), and complete extensive administrative work—often taking 30–60 minutes or more per request. This fee of $25 helps cover the time and resources necessary to ensure your request is processed as efficiently as possible.

Please note: Payment of the fee does not guarantee insurance approval.

Some medications are FDA approved for ages 12 years and up.

We take cash, all major credit cards, Apple Pay, and Venmo. We do not accept checks. 

Payment is required at the time of service and - in some instances - to make the appointment.

We require 1 business day's notice for cancellations including rescheduling. Less than 1 business day's notice will be charged 100% of the service fee. Thank you for your understanding and for helping us respect everyone's time.

 Follow-up frequency depends on your treatment plan:

   •   Weight Management: Typically every 4 weeks, with the option to move to every 3 months based on progress.

   •   Hormone Management: The first follow-up is usually 8 weeks after starting treatment, then approximately every 12 weeks.

Note: Your provider may adjust this schedule based on your individual needs.

•   Hormone Management: Yes, lab work is required.

•   Weight Management: Lab work is not routinely required, but may be recommended depending on your case.

 No. For consistency and accuracy, we only accept results from our partnered laboratory.

Yes, outside lab results may be reviewed, but they cannot replace required testing from our partnered lab.

 No, we do not bill insurance for lab work. However, many patients use HSA, FSA, or similar plans to cover these costs. Please note that requests for additional paperwork may result in administrative fees.