Confirm benefits before your visit
Coverage depends on your plan, the clinician, the service, the diagnosis, and any required authorization. Contact the office and your insurer to confirm whether a particular visit, test, procedure, or medication is covered. Do not assume that a medication brand or a medical diagnosis guarantees coverage.
Medication coverage can be different from visit coverage
A prescription may have a separate formulary, prior-authorization requirement, deductible, or pharmacy restriction. Some plans exclude weight-management medications. Ask your insurer which product is covered for your diagnosis and what documentation is required.
What to have ready
Bring your insurance card, photo identification, medication list, and any coverage correspondence you have received. The first consultation is $125, prepaid to reserve the appointment; ask the office how that payment relates to your particular benefits. Coverage and reimbursement are not guaranteed.