Insurance and Pricing

New Patient Charge

The initial visit may be covered by your medical insurance.  If you do not have medical insurance or if your insurance does not cover the visit, the initial visit cost is $150. 

Established Patient Charges 

Insurance usually does not pay for follow up visits to our office. 

The cost for follow up visits is as follows: 

Weekly visits are $30.00
Biweekly visits are $40.00

Monthly (every 4 weeks) visits for follow-up are $50.00 

Medicare pays for weight loss 

For Medicare beneficiaries with obesity (BMI greater than or equal to 30), traditional Medicare will cover up to 22 visits in one year. If your BMI falls below 30 during your treatment, Medicare will no longer pay for those visits. 

• Medicare Part B is covered at our office.
• Blue Advantage, UHC AARP, UHC PEEHIP will cover most of the cost. 
• Healthsprings will cover treatment for obesity; You must obtain a referral from your primary care physician to see Dr. Shields. 
• Humana, Cigna, and Viva cover obesity treatment only if provided by your primary care physician. They do not pay for visits at our office.

We will be happy to assist you with filing reimbursement for your Health Savings Account or insurance company that we are not on plan with.

 

Cancellation and missed appointments

Cancellation and missed appointments. Our policy is to charge for missed appointments or appointments not canceled prior to 24 hours of the appointment time. This charge, $25.00, will be your responsibility and billed directly to you. This will enable other patients to use that appointment time.