How Does Insurance Reimbursement Work with JumpstartMD’s Medical Weight Loss program in the San Francisco Bay Area?
If you have an insurance plan with out-of-network benefits, you may be eligible for reimbursement on your JumpstartMD program costs. If you qualify, our Concierge Medical Claims team will submit claims on your behalf and ensure your plan processes your claims correctly.*
Weight Loss Program Reimbursement Directly from Insurer
You will be required to pay for the visit at the time of service, and you will receive reimbursement directly from your insurer, usually within 8 weeks. We cannot guarantee your exact coverage amount as individuals’ policies, deductibles, co-pays, and diagnoses may vary. Note that all claims are subject to your plan deductible. Please check your plan benefits for more information.
How Much of my Medical Weight Loss Program is Covered by my Insurance Plan?
Specific reimbursement for the program is subject to your insurance plan, but many eligible PPO plans cover an average of 60% of the Weight Loss program cost.
What about BHRT & Cardiometabolic Health patients?
Coverage for members who are receiving Bioidentical Hormone Replacement Therapy or are using JumpstartMD’s Center for Cardiometabolic Health may vary, based on medical need and specific treatment options. Office visits and lab tests are typically covered by eligible PPO plans and FSA/HSA plans, but specific medication and procedures may not be covered. You can review your options with your provider prior to any treatments or call us at 855-JUMPSTART to explore further.
*To qualify, you must have a PPO with out-of-network benefits, have paid your monthly membership, and attend at least two of your weekly visits per month. Unfortunately, HMO and Medicare plans do not cover JumpstartMD.
Benefits of a Medically-Supervised Weight Loss Program
- Lab tests provide quantified biometrics to measure your progress and tailor your program based on real data
- We can prescribe optional FDA-approved medication to supplement your efforts and attain your goals
- Some program costs may be reimbursable by insurance or paid for with FSA/HSA programs
- Oversight from trained clinicians ensures you a plan designed specifically for you.