For individuals seeking assistance with weight loss, navigating the healthcare system and understanding insurance coverage can be a daunting task. This article provides information on finding qualified weight loss doctors and programs, with a focus on options that may be covered by Medicaid.
The Importance of Seeking Professional Help for Weight Loss
For many individuals, self-help strategies and diet books may not lead to significant or sustainable weight loss. Working with an obesity doctor or healthcare provider can be a more effective approach. These clinicians are specially trained to treat obesity and obesity-related conditions using evidence-based strategies.
What is an Obesity Medicine Clinician?
Obesity medicine providers treat obesity as a disease, recognizing the various factors that contribute to it. They develop personalized treatment plans that may include nutrition guidance, physical activity recommendations, behavior therapy, and medication.
The Obesity Medicine Association (OMA) offers a member directory where you can search for obesity medicine clinicians in your area by city, state, or zip code. When using the directory, you can also select "Fellow of OMA" to find clinicians who have demonstrated an ongoing commitment to the practice of obesity medicine.
Options for Weight Loss
Weight management programs often include a range of nonsurgical and surgical options. These options are tailored to meet individual needs, lifestyles, and goals.
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Nonsurgical Weight Loss
Nonsurgical weight loss solutions can include medication programs to help control appetite. When combined with ongoing monitoring and support from medical weight loss experts, prescription oral and injectable weight loss medications can aid in weight loss by reducing appetite or promoting a feeling of fullness.
Types of nonsurgical weight loss medications:
- Oral weight loss medications: Reduce appetite and hunger cravings.
- Injectable weight loss medications: Affect the body's glucagon-like peptide 1 (GLP-1) hormone, helping individuals feel full more quickly and for longer.
Bariatric Surgery
Bariatric surgery is a more invasive option that reduces the size of the stomach through various methods.
Types of bariatric surgery:
- Gastric bypass surgery
- Gastric sleeve surgery (removing 80 percent of the stomach)
- Biliopancreatic diversion with duodenal switch
- Weight loss revision surgery
- Robotic Bariatric Surgery (allows for less blood loss, less pain, and a shorter hospital stay)
Medicaid Coverage for Weight Loss Programs
Many insurance companies, including Medicare and Medicaid, provide benefits for weight loss programs and bariatric surgery. However, it is essential to verify specific coverage details with your insurance provider.
Qualifying for Medical Weight Loss
To determine if weight loss management is the right choice for you, consult with a doctor. At MU Health Care, your safety and success are a priority. Experts work closely with you to decide if you qualify and, if so, which option is right for you.
Weight loss medications like GLP-1 inhibitors are approved for use in patients with a body mass index (BMI) of 27 or greater who have other health conditions associated with weight, or a BMI of 30 or greater without health conditions related to weight.
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Qualifying for Bariatric Surgery
Good candidates for bariatric surgery typically:
- Have a BMI of 35 or above with other weight-associated health conditions or a BMI of 40 and above
- Are committed to making long-term lifestyle changes
- Meet insurance requirements set by Medicare, Medicaid, and other major insurance providers
What to Expect During Your First Weight Loss Consultation
Weight loss consultations usually start with a comprehensive evaluation of your health history. During this evaluation, the weight loss team will determine which weight loss options you may qualify for, which options best fit you, and how they can support you in achieving your goals.
If you qualify for medical weight loss treatment, your doctor will discuss the available options, address any medical clearances needed before treatment, and help you understand the physical, mental, and dietary changes that you can expect.
Additional Support and Resources
Weight loss is a lifelong commitment, and having a strong support system is crucial.
Support Crew
A successful bariatrics procedure begins long before you enter the operating room and continues with daily shifts that last a lifetime. Your support crew may include dietitians, nurses, trainers, and psychologists or other therapists.
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Support Groups
Joining support groups, either in person or online, can provide valuable emotional support and practical advice.
Lifestyle Changes After Weight Loss Surgery
Following weight loss surgery, it’s a challenge to drink enough, because of the changes in your stomach. In addition, caffeinated and carbonated beverages also can irritate your stomach and contribute to ulcers. Good hydration is essential for health and healing.
Considerations for Women After Weight Loss Surgery
Many people find it easier to get pregnant after weight loss surgery, but it's advisable to wait at least 12 to 18 months to ensure that the baby receives adequate nutrition for proper growth and development.
Real Appeal Program
Real Appeal is a voluntary weight management program offered to eligible members as part of their benefit plan at no additional cost. The program emphasizes small, steady, sustainable steps toward a healthier future. Participants who attended four or more sessions lost an average of 10 pounds. Individual results may vary.
Finding a Weight Loss Doctor Near You
To find a weight loss doctor or healthcare provider near you, search the Obesity Medicine Association’s member directory by city, state, or zip code. You can also consult with your primary care physician for recommendations.
Locations for Weight Management
The Weight Management and Metabolic Center locations in Columbia and Jefferson City coordinate medical weight loss care and also include support from nutritionists, exercise physiologists, and physical therapists to help you reach your goals.