Do I Qualify?

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Each insurance plan is different. Provided below are the most common plans and their requirements that we see. We have also provided a link to each plan. Please contact your carrier for the details about your specific plan.

Insurance Plans

Blue Cross/ Blue Shield

  • BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension, Osteoarthritis, etc.) You must bring supporting medical records from your primary medical doctor
  • 18+ years of age-
  • Medical and Diet history sheet that you fill out in office during consultation or print and bring with you
  • Documented weight for past 3 years
  • 6 consecutive months of weight loss documentation. If months are skipped, you have to start over
  • Dietary Consultation
  • For our use: Psychiatric Evaluation

Federal Blue Cross

  • BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension, Osteoarthritis, etc.) You must bring supporting medical records from your primary medical doctor
  • 18+ years of age-
  • Medical and Diet history sheet that you fill out in office during consultation or print and bring with you
  • Documented weight for past 3 years
  • 3 consecutive months of weight loss documentation. If months are skipped, you have to start over
  • For our use: Psychiatric Evaluation & Dietary Consultation

Champ VA

  • BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension, Osteoarthritis, etc.) You must bring supporting medical records from your primary medical doctor
  • Medical and Diet history sheet that you fill out in office during consultation or print and bring with you
  • For our use: Psychiatric Evaluation & Dietary Consultation

Mail Handlers

  • BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension, Osteoarthritis, etc.) You must bring supporting medical records from your primary medical doctor
  • 18+ years of age-
  • Medical and Diet history sheet that you fill out in office during consultation or print and bring with you
  • Psychiatric Evaluation
  • Past weight loss attempts have to be physician supervised for 3 or 6 months by a licensed dietician
  • For Our use: Diet Evaluation

Self Pay

  • BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension, Osteoarthritis, etc.) You must bring supporting medical records from your primary medical doctor
  • Medical and Diet history sheet that you fill out in office during consultation or print and bring with you
  • For Our use: Psychiatric Evaluation & Dietary Consultation

Other Plans

CignaAetna, and other individual insurance companies will vary depending on each individual policy. To find out the requirements, call you insurance company with your patient ID number and ask what the policy coverage criteria is based on the individual group plan.

We do not currently see patients for Bariatric Surgery who have Medicare/ Medicaid.