Is Weight Loss Clinic Covered by Health Insurance in Taiwan? - Family Medicine

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Weight Loss Clinic


Hello Dr.
Lin,
I would like to ask if weight loss clinics are covered by health insurance.
If it requires out-of-pocket payment, what would the approximate cost be? Thank you for your response!

Xiao Pang, 10~19 year old female. Ask Date: 2004/11/15

Dr. Lin Mingxing reply Family Medicine


Dr.
Lin Ming-Hsing, the Director of Family Medicine at Tainan Hospital, Department of Health, Executive Yuan, responded to Dear Xiao Pang: Essentially, the nature of the weight loss clinic is to help you rule out the presence of pathological obesity (e.g., endocrine disorders or others), which is covered by health insurance.
If it is a case of general obesity, there are several options: 1.
Education on understanding obesity.
2.
Providing body composition analyzers or metabolic measurement devices to help analyze the nature of your obesity; the former is free of charge, while the latter incurs a cost of several hundred NT dollars per session.
3.
Offering medications such as Orlistat or other weight loss drugs, which require out-of-pocket expenses, typically ranging from 2,000 to 4,000 NT dollars per month.
4.
Nutritional counseling from a dietitian.
If you have any questions, feel free to consult the Family Medicine Department at Tainan Hospital.
Wishing you good health and all the best!

Reply Date: 2004/11/15

More Info


In Taiwan, weight loss clinics and related services can vary in terms of health insurance coverage, particularly under the National Health Insurance (NHI) system. Generally, the NHI provides coverage for certain medical treatments and consultations, but weight loss programs may not always fall under this umbrella.
Typically, weight loss clinics that are recognized by the NHI may offer services such as nutritional counseling, medical evaluations, and monitoring of weight loss progress. However, the specifics can depend on the clinic and the nature of the services provided. For instance, if the weight loss program includes medical supervision due to obesity-related health issues, there might be a higher chance of coverage.
For patients with a Body Mass Index (BMI) of 27 or higher, who may be classified as obese, there is often a greater likelihood of receiving insurance coverage for weight management services. This is because obesity is associated with various health risks, including metabolic syndrome, diabetes, cardiovascular diseases, and other serious conditions. Therefore, if a medical professional determines that weight loss is necessary for health reasons, it may be more likely to be covered by insurance.

If the services are not covered by the NHI, patients may need to pay out-of-pocket. The costs for weight loss programs can vary widely depending on the clinic, the type of services offered, and the duration of the program. For example, some clinics might charge a flat fee for a comprehensive program that includes consultations, dietary plans, and follow-up visits, while others may charge per session. On average, patients might expect to pay anywhere from a few thousand to tens of thousands of New Taiwan Dollars (NTD) for a complete weight loss program.

To get accurate and detailed information, it is advisable for patients to directly contact the specific weight loss clinic they are interested in. They can inquire about the services offered, whether those services are covered by the NHI, and the associated costs if they need to pay out-of-pocket. Additionally, patients can consult with their primary care physician or a specialist in obesity management to discuss their individual health needs and the best course of action.

In summary, while some weight loss services may be covered by Taiwan's health insurance, it largely depends on the specific circumstances of the patient and the nature of the services provided. It is essential for individuals seeking weight loss assistance to gather information directly from clinics and healthcare providers to understand their options and any potential costs involved.

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