Toggle navigation
Toggle navigation
Home
DCUM Forums
Nanny Forums
Events
About DCUM
Advertising
Search
Recent Topics
Hottest Topics
FAQs and Guidelines
Privacy Policy
Your current identity is: Anonymous
Login
Preview
Subject:
Forum Index
»
Diet, Nutrition & Weight Loss
Reply to "Ozempic/Semaglutide results"
Subject:
Emoticons
More smilies
Text Color:
Default
Dark Red
Red
Orange
Brown
Yellow
Green
Olive
Cyan
Blue
Dark Blue
Violet
White
Black
Font:
Very Small
Small
Normal
Big
Giant
Close Marks
[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]United Health care would not cover anything weight loss related. I am not diabetic. I am on Qsymia and I private pay.[/quote] I don’t understand this. A healthy weight prevents so many issues they’ll pay for down the road. I hope it changes. [/quote] Agree. I'm in primary care and have to deal (unsuccessfully, usually) with prior authorization and medical necessity. _why_ BCBS, Aetna, etc. would push back against these prescriptions for long-time obese patients is truly beyond my understanding. I mean, would BCBS rather pay for the looming type 2 diabetes that's right around the corner, guaranteed? With its attendant chronic kidney disease, glaucoma and wounds? Or how about the double knee replacements that are likely to come? Maybe Aetna and Cigna just really enjoy writing the checks for all the cancer treatments made necessary by obesity (colon, most breast, uterine, pancreatic). It's really, really easy and straightforward to submit documentation that Jane Doe is obese and has one related chronic disease (even simple osteoarthritis). But the insurers fight even that! A BMI of 35 is obese, full stop. Yet coverage is routinely denied on the first submission and sometimes on subsequent attempts. They're shooting themselves in the feet, and I feel like there's a reason hiding in plain sight but I can't identify it. [/quote] It’s probably more profitable to have people stay obese because they die sooner.[/quote]
Options
Disable HTML in this message
Disable BB Code in this message
Disable smilies in this message
Review message
Search
Recent Topics
Hottest Topics