Obesity behavioral therapy
Medicare Coverage Information
Overview
Medicare provides behavioral therapy for obesity as a preventive service to help beneficiaries manage weight and reduce health risks. Eligible patients can receive counseling from qualified healthcare providers to develop personalized weight management strategies.
- Covered for Medicare beneficiaries with a body mass index (BMI) of 30 or higher
- Includes face-to-face counseling sessions with a primary care provider
- Focuses on diet, exercise, and behavioral modifications
- Typically provided in primary care settings
- Aims to help prevent obesity-related health complications
- Medicare Part B beneficiaries
- Patients with BMI of 30 or higher
- Individuals receiving care from a qualified primary care provider
- Must have a referral from primary care physician
- No cost-sharing (no copayment or coinsurance) when received from a Medicare-approved provider
- Covered 100% when delivered in primary care setting
- Services count towards preventive care benefits
- Must be prescribed by a primary care physician
- Limited to patients with BMI of 30 or higher
- Requires ongoing medical assessment and documentation
- Number of covered sessions may be limited per year
- Discuss obesity behavioral therapy with your primary care doctor
- Get a BMI assessment and referral for counseling
- Verify coverage details with your specific Medicare plan
- Call 1-800-MEDICARE for additional information
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare obesity therapyweight loss counselingMedicare preventive servicesobesity behavioral treatmentMedicare weight management
Related Coverage Topics
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