Why This Announcement Matters to You
✔️ Access to Insurance Benefits You Already Pay For
Healthcare is expensive—we get it. If you have a health plan with Blue Cross, BCN, or Medicare Plus Blue, you’ll finally be able to use your insurance for qualifying medical weight loss office visits at Life IV Weight Loss. That means less financial stress and more focus on your wellness goals.
✔️ Expanded Coverage for Eligible Clients
Beginning in August 2025, eligible clients covered under these plans can schedule their visits knowing they’re seeing a participating, in-network provider. This can significantly reduce out-of-pocket costs, eliminate surprise bills, and streamline your billing experience.
🏥 Who This Applies To
If you carry any of the following insurance plans, this update is for you:
- Blue Cross Blue Shield of Michigan (BCBSM)
- Blue Care Network (HMO-style plans)
- Medicare Plus Blue PPO
Note: Plan coverage and exclusions may vary. Not all services may be covered under every plan. Please verify your specific benefits directly with your insurance provider or through your member portal.
💡 Quick Facts: What’s Covered (and What’s Not)
✅ Covered:
- Initial and Follow-Up Office Visits
- Weight Management Consultations
- In-Person and Virtual Visit Options (Depending on Plan)
- Clinical Evaluations by Nurse Practitioners
❌ Not Covered:
- Weight Loss Medications
While office visits may be billable to insurance, the cost of GLP-1 medications like Semaglutide or Tirzepatide is not typically covered unless you qualify through your prescription benefit and prior authorization process.
⚠️ Important Notes About BCN (Blue Care Network)
Many clients with Blue Care Network (BCN) plans are enrolled in HMO-style plans that require a referral from your Primary Care Provider (PCP) before seeing a specialist. Since Life IV Weight Loss is considered a specialty care provider, we cannot see BCN patients without a valid referral if your plan requires one.
What this means for you:
- Contact your PCP’s office to request a referral before your appointment.
- The referral must be processed in the insurance system before your visit.
- Without a referral, your appointment will not be covered and will default to self-pay.
Check your insurance card or member portal to determine if a referral is required for your plan.
🗓️ What Happens in August 2025?
Starting in August 2025, our in-network status with these insurers becomes active. At that time:
- You can provide your insurance card during booking or at check-in.
- We will bill the insurance provider directly for qualifying visits.
- Your copay, deductible, or coinsurance (if applicable) will be due at the time of service.
Our billing team will also be available to assist with:
- Insurance verifications
- Eligibility checks
- Copay and deductible estimates
💬 Frequently Asked Questions (FAQ)
Q: Can I use my insurance now?
Not quite yet! Coverage begins August 1, 2025. Any visits before that date remain self-pay or out-of-network, depending on your plan.
Q: Will insurance cover my Semaglutide, Tirzepatide, or other GLP-1 medications?
Not automatically. These medications are typically considered a pharmacy benefit, not a medical visit. Many plans require:
- Prior authorization
- BMI qualifications
- Documented weight-related conditions
We’ll help you navigate the process, but approval is not guaranteed.
Q: I have a Medicare Advantage plan. Does that count?
If your plan is Medicare Plus Blue PPO, yes! You’ll be covered for eligible visits.
Q: Will this affect current clients?
Existing clients are automatically switched to using their insurance once in-network coverage begins. Due to insurance contractual requirements we cannot allow clients with an insurance we can bill to pay self-pay pricing. We are contractually (legally) required to bill your insurance even if we know it will be denied. This may result in higher out-of-pocket costs.
👩⚕️ Our Commitment to Affordable, Quality Care
At Life IV Weight Loss, our mission has always been to make evidence-based medical weight loss accessible. By partnering with Blue Cross Blue Shield, Blue Care Network, and Medicare Plus Blue, we’re breaking down one of the biggest barriers to care: cost.
Whether you’re just starting your weight loss journey or looking to sustain your progress, we’re here to support you with:
- Experienced Nurse Practitioners
- Personalized weight loss programs
- Virtual check-ins and medication management
- Ongoing lifestyle and nutrition support
And now—insurance billing to help you stay on track.
🧾 How to Prepare for Your First Insurance Visit
If you’re planning to start or resume your weight loss care in or after August 2025, here are some tips to ensure a smooth onboarding process:
- Contact your insurer to confirm if we’re in-network with your plan.
- Request a PCP referral if required (especially for BCN members).
- Update your insurance information with our front desk or on your patient portal.
- Bring your ID and insurance card to your appointment.
- Check your deductible and copay amounts ahead of time.
Our billing team can help walk you through this—we don’t expect you to decode insurance hieroglyphics alone.
📍 Where We’re Located
Life IV Weight Loss
1325 N. Main Street, Suite B
Adrian, MI 49221
We also offer telehealth visits for eligible Michigan residents—check with your plan to see if this is covered.
✅ Summary: What You Need to Know
| Feature |
Details |
| In-Network Start Date |
August 1, 2025 |
| Insurance Plans Accepted |
BCBS, BCN (with referral), Medicare Plus Blue |
| What’s Covered |
Office visits, consultations |
| What’s Not Covered |
Medications (usually), non-medical add-ons |
| Referral Required? |
Yes, for most BCN plans |
| How to Prepare |
Contact your insurer, update records, request referral (if needed) |
🎯 Ready to Take the First Step?
We’re thrilled to expand access to our services and support even more clients on their weight loss journey. If you have questions about your coverage, how to get started, or what services we offer—reach out today!
📞 Call us at (517) 273-3210
🌐 Visit www.lifeivweightloss.com
📅 Schedule your appointment for August or beyond
Disclaimer: Insurance coverage varies by plan. Clients are responsible for understanding their insurance benefits. Life IV Weight Loss cannot guarantee coverage. Most BCN plans require a referral from a PCP. Medications are not included in in-network office visit coverage.
