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Prescription Weight Loss Medication Insurance Program
Your Pathway to Affordable Weight Loss Medications**
Program Overview
Our Insurance Program is designed to help you navigate the complexities of insurance coverage for prescription weight loss medications. With a focus on the most prescribed medications such as Wegovy, Ozempic, Zepbound, and Mounjaro,we aim to make your journey towards health and wellness both affordable and accessible.
Eligibility and Coverage
- Insurance Accepted:Â Only commercial insurance plans are accepted. Please note, Medic aid or Medicare are not options within our program.
- Coverage Process:Â We undertake the process of prior authorization and, if needed, appeals to secure coverage for your prescribed medication. However, we cannot guarantee coverage for all applicants.
- Success Rate:Â While we do not provide a guarantee of coverage, we boast a high success rate of approximately 75%.
Membership Pricing
Program Membership Fee: $75 per month
Cancel Anytime: You have the flexibility to cancel your membership at any time, providing you with full control over your commitment.
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Membership Benefits
1 | Monthly Prescription
Receive your prescription on a monthly basis without any hassle.
2 | Unlimited Access to Medical Doctor
Have your health monitored and your questions answered by a licensed medical doctor, ensuring your treatment is both safe and effective.
3 | Insurance Concierge (Prior Authorization)
Our dedicated team will handle all the necessary paperwork for prior authorization and, if needed, appeals to ensure your medication is covered by your insurance.
4 | Assistance with Finding Medications When Out of Stock
If your prescribed medication is unavailable, our team will assist in locating it, ensuring that your treatment is uninterrupted.
5 | Access to Our Partner Pharmacy with Medications in Stock
Through our partnership with Across Specialty Pharmacy, you’ll have access to your prescribed medications, minimizing common stock issues.
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How it Works
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Prescription Submission
Your medical provider will submit your prescription to our partnered pharmacy,Across Specialty Pharmacy.
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Insurance Review
Depending on your health insurance plan, you may encounter the following outcomes:
- Accepted:Â You could pay as low as $25, based on your coverage.
- Prior Authorization Required:Â Our team will handle the approval process and keep you informed throughout.
- Out of Network:Â If our partner pharmacy is not recognized by your insurance, we'll discuss alternative solutions.
- Denied:Â We will explore other options with you, such as compounded medications.
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Get Your Medication
Once the insurance review is complete and your prescription is processed, we ensure your medication is promptly delivered to your doorstep. This streamlined approach is designed to provide you with a hassle-free experience, allowing you to focus on your health without worrying about medication availability or insurance paperwork.
Explore our comprehensive care options tailored to your medication needs:
1 | Prescription Submission
Your medical provider will submit your prescription to our partnered pharmacy, Across Specialty Pharmacy.
2 |Insurance Review
Depending on your health insurance plan, you may encounter the following outcomes:
- Accepted:Â You could pay as low as $25, based on your coverage.
- Prior Authorization Required:Â Our team will handle the approval process and keep you informed throughout.
- Out of Network:Â If our partner pharmacy is not recognized by your insurance, we'll discuss alternative solutions.
- Denied:Â We will explore other options with you, such as compounded medications.
Timeframe |
The entire process typically takes between 2-3 weeks, often sooner.
Important Considerations |
Copays:Â Most copays, once approved, are either free or $25. However, the actual amount may vary based on your individual plan or deductible. We do not determine copay amounts and cannot offer guarantees.
Communication:Â You will be directly informed of the outcome, and your health insurance will also communicate with you regarding the coverage.
FAQ
What weight loss medications are offered at Body Good Studio?
We offer a range, including generic options like Metformin and Bupropion + Naltrexone, compound medications (Semaglutide, Tirzepatide), Wegovy, Zepbound, Saxenda, Ozempic, Mounjaro
Can insurance be used to cover medication costs?
Yes, if your insurance covers weight loss medications, you can use it. We also assist with prior authorization and guide you in accessing pharmaceutical coupons for additional savings.
What if my insurance doesn't cover my chosen medication?
You can opt for a different medication, use pharmaceutical coupons for discounts at local pharmacies, pay in cash, or consult your insurance for their covered options.
What does the consultation process involve and how much does it cost?
Consultations, essential for medical reviews and prescription refills, are $69/month
What is included in the wellness coaching program?
Our wellness coaching offers personalized meal and fitness plans, along with motivational support, to complement your prescribed weight loss regimen.
Are there any package deals available?
Yes, we offer 3 month packages for our compound Semaglutide and Compound Tirzepatide program. Selecting a 3 month program allow you to bundle and save.
Are there any discounts or promotional offers?
Not at this time, please sign up for our email so that you are the first to know when we have any promotional offers.
What alternatives are available if I'm not ready for prescription medication?
We offer high-quality weight loss supplements starting at $20, a non-prescription option for those starting or supplementing their wellness journey.
What is the delivery time for medications?
Mail-order medications are dispatched within 5-7 days through our partner pharmacies. For insurance-based pickups, same-day collection is available at local pharmacies
What are the common side effects of the weight loss medications?
Most common side effects include gastrointestinal issues like nausea, vomiting, and constipation. We advise a consultation to discuss these effects and tailor a management plan for you.