There is absolutely no obligation to have us verify your LAP-BAND coverage and if you don’t meet your insurance policy’s criteria, we can request an individual need assessment, send a letter of medical necessity and help you through the appeal process if necessary. While you can review your insurance policy package to see what weight control expenses are covered or excluded, you may find it much easier to simply give us a call at, or fill out our free, no obligation FREE LAP-BAND Insurance Verification Form so that our LAP-BAND Insurance Coordinator can verify either your Blue Shield or BlueCross LAP-BAND Surgery coverage for you. However, many programs expire after some time.Blue Cross and Blue Shield will cover your lap band Surgery as long as you meet your BCBS insurance plan’s requirements for bariatric surgery. If they don’t, there are patient assistance programs that may help with costs. ![]() Your insurance may or may not cover the cost of certain GLP-1s. ![]() Out-of-pocket costs for these medications are quite high. What will I have to pay for this medication?.You may also meet with a Registered Dietitian for personalized nutritional guidance or a behavioral health specialist. An expert coach will be available to support your weight loss journey. Your care provider may recommend additional clinical support. If you stop taking a medication that’s working, you can expect to regain the weight. For most weight-loss medications, doctors recommend ongoing use if the medication is helping you lose weight. Ė-12 months to evaluate weight maintenance, prevent weight gain and keep focus on diet and physical activity.The goal is to assess side effects, evaluate weight loss and adjust doses if necessary. Ğvery 2-4 weeks in the beginning and every 2-3 months thereafter for certain members and medications.Ę-12 weeks to check early response and predict final response to medications.You can also expect regular clinical follow-ups after the initial visit: And your provider may suggest a different one. You’ll be informed if the medication is denied. You or your provider may need to submit more documentation, prior authorizations or appeal letters if the medication is denied. You can expect some administrative follow-up to get the medication approved. Your provider will also educate you on how to use it, the expected impact, side effects and how to monitor it.Īfter your provider submits the prescription, it may take several weeks to get it filled. Together, you can decide if it’s right for you. If you meet certain criteria, the provider may suggest starting a weight loss medication. They’ll also review your current and previous medications. During this visit, the provider will review your medical history. You’ll meet with a Teladoc Health care provider for an initial visit. What is the process for getting a GLP-1 prescription if I’m eligible for condition care through my condition management program?.Members must also have already shown a strong attempt at lifestyle modifications and were unsuccessful. Typically, these medications are available to members who meet additional clinical criteria. Once enrolled in condition care, your Teladoc Health care provider will assess whether a GLP-1 medication is right for you.If you clinically qualify, you’ll receive an invitation to enroll in condition care.Your employer or plan sponsor must also have opted in to offer the condition care service. You must be enrolled in our Diabetes Management, Hypertension Management, Weight Management or Diabetes Prevention programs.Am I eligible to receive GLP-1s through my condition management program?.Members can expect support through nutritionists, expert coaching and other licensed professionals. Our approach is to offer these medications in addition to providing guidance on lifestyle modifications. Teladoc Health care providers can prescribe GLP-1s for these members when clinically appropriate. Therefore, Livongo members enrolled in a condition management program and eligible for condition care will have access to the Teladoc Health network of providers. ![]()
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