We provide many options for making your weight loss affordable.

There are several payment options for MD Weight Management patients. We are able to work with numerous insurance plans, which can be a valuable resource for patients looking to decrease their out of pocket costs. See below for more information on specific insurances.

The best way to find out if your insurance will cover the services of MD Weight Management is to call the number on the back of your insurance card and ask if your plan includes coverage for “medical weight loss.”

All patients are responsible for the expense of their meal replacements, which costs approximately $180 per week. Many patients find that this is a cost savings when compared to their normal grocery and restaurant bills.

After completing Total Meal Replacement Phase and Transition Phase, patients move onto the Weight Management Skills Phase to provide continued support and prevent weight regain. While many insurance companies may cover the fees for the Total Meal Replacement Phase and Transition Phase of the program, they do not cover the fee for the Weight Management Skills Phase.  Patients are responsible for the monthly fee associated with the Weight Management Skills Phase, which is $99/month with automatic payments (or $110/month without auto pay)

The maintenance program includes weekly group sessions with a Registered Dietitian and a 20% discount on all meal replacements. Discounted package rates may also be purchased for maintenance: $500 for 6 months, $900 for 1 year, $1600 for 2 years, or $5000 for lifetime.

• HMO
  • MD Weight Management currently has a contract with Brown & Toland HMO. Individuals with this type of insurance must have a BMI of 27 or higher with at least 2 health risk factors, or a BMI of over 30 without complications in order to qualify for coverage. Patients with Brown & Toland insurance may be responsible for only a weekly copay and the cost of their meal replacements. HMO contracts are subject to change. Please contact your insurance company for current information about current HMO contracts. MD Weight Management is not contracted with any other HMO plans. Individuals with another HMO plan are welcome in the program, but self-pay rates will apply.
• Medicare
  • Many patients use their Medicare to pay for a majority of their MD Weight Management costs. Medicare has a BMI requirement of 30. Medicare patients are responsible for a weekly $40 copay and the cost of their meal replacements. If you have Medicare and do not have a BMI over 30, you will still be welcome in the program, but self pay rates will apply.
• PPO
  • MD Weight Management has successfully worked with many different PPO plans in the past. Because of variability of individual benefits, the best way to find out if your insurance will cover the services of MD Weight Management is to call the number on the back of your insurance card and ask if your plan includes coverage for ‘medical weight loss.’ Other key factors that can help you determine your out of pocket costs are your deductible, rate of coverage, and out of pocket maximum. Your deductible is the amount that you will be responsible for paying before your insurance will cover any services. Since the advent of the Affordable Care Act, many patients have high deductible plans. Your insurance company will be able to give you more information about your deductible. Rate of coverage is the amount that your insurance will cover services after your deductible has been met. Some plans have different rates of coverage for out-of-network and in-network services. Individual rates of coverage vary widely between plans. An out-of-pocket maximum is the maximum amount that can be due from a patient during a calendar year. After the out-of-pocket maximum has been met, most plans cover medical services at 100%.MD Weight Management has successfully worked with the following insurance providers in the past:
    1. Aetna
    2. Anthem Blue Cross: Prudent Buyer
    3. Brown & Toland HMO
    4. Cigna
    5. Coventry
    6. FPN
    7. Health Net
    8. Humana
    9. Interplan
    10. Medicare
    11. Multiplan
    12. NPPN
    13. Sutter Select
    14. United Healthcare
    15. USA MCO

    This list is not a guarantee of coverage. Please contact the customer service number on the back of your insurance card for more details on your specific plan.

    Many patients using their PPO insurance to pay for the program will end up receiving bills for MD Weight Management services. If these bills ever add up to be more than the self-pay rates of the program, you are welcome to switch to a self pay option.

• Self Pay
  • Many patients choose to pay out of pocket to be a patient of MD Weight Management. Sometimes self pay pricing ends up saving patients money when compared to accumulated bills from PPO plans. There are several different fees during different phases of the program:
    1. Initial screening and comprehensive medical review by an MD or NP, including necessary laboratory testing, electrocardiogram and urinalysis is $425 and is due at the time of your appointment.
    2. After initial screening, there is a $550/month fee for the Rapid Weight Loss Phase and Transition Phase. This includes regular visits with a physician or nurse practitioner, laboratory tests, and educational classes.
    3. Prescription meal replacements cost approximately $180 per week. Many patients find that this is a cost savings compared with weekly grocery, restaurant and alcohol bills.
    4. During the Maintenance Phase of the program, there is a monthly fee of $99 to $110 per month. To decrease monthly costs, patients may choose to sign up for automatic payment or prepay for a discounted rate package.