FAQs

Virtual care for Weight loss visits involves ongoing visits with a healthcare provider. During your first visit, your provider will review and evaluate your medical history and order any appropriate lab testing that may be needed to determine whether weight loss medication may be for you. At your second visit, your provider will evaluate your test results, discuss your personal health and weight-related goals, and help you design a personalized care plan. In addition to lifestyle recommendations, your care plan may include a prescription for weight loss medication. Once you begin the medication, you'll have regular check-ins with your provider, who will review your weight loss progress, assess your medication tolerance, order follow-up lab testing or prescription refills, and adjust your care plan as needed.

In most cases, you can expect to speak with the same provider. However, this cannot be guaranteed and depends on provider availability.

While prescriptions are not guaranteed for all patients, you may be eligible for a prescription for weight loss medication if you are over 18 years of age and your healthcare provider determines that you meet certain criteria, such as weight and specific associated health conditions.

You may not be eligible for a GLP-1 prescription if you meet any of the following criteria:

• Currently pregnant, nursing, or planning to become pregnant in the next year
• Family or personal history of medullary thyroid cancer
• Personal history of multiple endocrine neoplasia type 2 (MEN2)
• Active eating disorder or history of eating disorder (bulimia, anorexia, etc.)
• Currently being treated for cancer
• Active drug or alcohol misuse
• Suicidal thoughts or past attempts
• Mental health disorders (bipolar disorder, anxiety disorder, schizophrenia, etc.)
• Current or history of pancreatitis
• Bariatric surgery (within the last 18 months)
• Heart attack (within the last 12 months)
• Type 1 diabetes
• Heart failure
• Organ transplant or immunosuppressive therapy
• Severe gastrointestinal diseases such as gastroparesis and inflammatory bowel disease
• Gallbladder disease
• Kidney disease
• Liver disease
• Diabetic retinopathy
• Insulin use
• Atrial fibrillation (A-fib) or tachycardia

‍

The Weight care program costs $50 a month and the Metabolic Reset costs $70 a month.  This includes access to online visits (billed to your insurance or $60 cash pay), unlimited chat with you clinician, writing and renewing GLP-1 prescriptions (if applicable), expert help navigating insurance for prescription coverage, a dedicated care manager, discounts on test kits and supplements and so much more.

Note that the following items are not included in the program fee, and their cost may vary depending on insurance coverage:

• Lab Testing: Lab testing is required before your provider prescribes weight loss medication. Required labs include a comprehensive metabolic panel (CMP), hemoglobin A1c, thyroid-stimulating hormone (TSH), and a lipid panel. You can work with Quest or another lab of your choice directly to determine if coverage is available through your insurance plan. The cost of lab testing varies based on your insurance coverage and the labs near you.Note that certain co-conditions, such as prediabetes and high cholesterol, may require additional ongoing testing.
• Provider Visits: provider visits can be billed to your insurance if we accept or paid cash $60 per visit. These visits are online telehealth visits.
• Medication (based on insurance coverage): Your clinical care team will work with you to identify the most affordable and effective medication based on your health needs and insurance coverage. With insurance, GLP-1 prescriptions are typically more affordable, but your exact cost will depend on your insurance plan. If you are uninsured, underinsured, or if the medication is not covered by your insurance, your provider may be able to help you find a prescription discount card. If you are unable to use insurance or a discount card, GLP-1 prescription medication costs may range from $900 to $1,400 for a one-month supply. Paloma Health does not directly sell GLP-1 or other medications. Prescriptions can be filled at the pharmacy of your choice.

‍

Virtual visits for Weight loss can be covered by insurance if we accept your insurance. Some insurance plans may cover other costs related to weight loss treatment, such as lab testing and prescription weight loss medication.

GLP-1 medication may be covered by your insurance plan. If needed, our team can help you navigate the prior authorization process. We will use your insurance information to help find affordable prescription options for you.

Yes, lab testing is required before your provider prescribes GLP-1 medication. This helps to ensure you are healthy enough to start a weight loss program. Required labs include a comprehensive metabolic panel (CMP), hemoglobin A1c, thyroid-stimulating hormone (TSH), and a lipid panel. These labs may also need to be repeated periodically to monitor how your body is responding to the medication.

The cost of the initial in-person lab testing will vary depending on your location and if you are using insurance or paying out-of-pocket. To confirm if lab testing is covered by your insurance plan, contact your insurance carrier directly.

Lab testing may be covered by your insurance plan. To confirm coverage, contact your insurance carrier directly.

Weight loss results vary depending on your starting weight, medical conditions, lifestyle changes, and type of weight loss medication. Many people who take GLP-1 medications for a 68-week period or longer have reported losing up to 15% of their starting body weight, when combined with healthy lifestyle choices.

If your BMI falls below 27, you may no longer need GLP-1 medications and your insurance may no longer cover them. In this scenario, your healthcare provider will reevaluate whether you can continue on the program.

Compounded GLP-1 medications are customized formulations prepared by compounding pharmacies. They often combine active ingredients like Semaglutide with other compounds (e.g., Vitamin B12) to meet individual patient needs. These medications may offer an alternative to branded versions, but their safety, efficacy, and quality depend on the pharmacy’s standards.

Your licensed board-certified nurse practitioners and doctors are qualified to prescribe medication, order lab tests, and assess your symptoms and health goals to create a customized care plan for you.

Yes, you can choose from the available providers licensed in your state when scheduling your appointment.