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Eligibility check
Weight loss eligibility brings together body measurements, health conditions and the safety of a particular treatment. This guide helps Dallas adults find the information relevant to their situation before a clinical appointment. Start with the assessment criteria, then follow the topics that need closer attention. The individual eligibility guide explains how those details contribute to a decision.
The thresholds
For adult weight management, a BMI of at least 30, or at least 27 with a weight-related health problem, is a common starting point for considering medication. The BMI requirements page explains the measurement and its limits. These general criteria do not cover every approved use of every product. A prescription for another condition needs its own assessment, and meeting a weight threshold does not settle whether treatment is appropriate.
The next question is what the health record shows. A confirmed diagnosis, its current treatment and any recent changes help a clinician assess potential benefits and risks. The guide to weight-related health conditions covers this part of the discussion. Safety questions deserve separate attention: GLP-1 exclusions and precautions describes histories that may rule out a product or require additional review.
Keep the medical decision separate from the payment decision. An insurer's requirements do not establish that a medicine is suitable for you, and a clinical recommendation does not establish payment. Read about weight loss insurance coverage, then confirm the current rules directly with your plan. This gives you a clearer list of clinical and financial questions to resolve before treatment begins.
The check
Height and weight give the BMI. It is a blunt number and it is only the first gate, not the decision.
Any weight-related diagnosis matters, both for whether you qualify at a lower BMI and for how the plan is built.
Personal and family history, and everything you already take. This is where a GLP-1 gets ruled out if it is going to be.
Either you are a candidate and the plan is explained, or you are not and you are told why, along with what else is reasonable.
Eligibility
The thresholds, the conditions that lower them, the histories that rule it out, and where to start.
The short version, and the three separate tests you have to pass.
Learn moreWhat BMI 30 and BMI 27 actually mean here, and the limits of the number.
Learn morePrediabetes, type 2 diabetes, blood pressure, cholesterol and sleep apnea.
Learn moreThe histories where a GLP-1 is not appropriate, whatever the BMI.
Learn moreThe two-minute check that tells you whether a consultation is worth booking.
Learn moreQualifying clinically and being covered are two different things.
Learn moreCommon questions
Where to start when treatment choices, medical history or the next appointment are still uncertain.
Straightforward questions and no card. Found out in about two minutes that it was worth booking, which is all I wanted.
My BMI was 28 and I assumed that was a no. Turned out the sleep apnea diagnosis mattered, which nobody had ever mentioned to me.
Told me clearly that a family history item needed checking before anything. Slower than I hoped but I understood why.
They separated out "you qualify" from "your plan will pay", which nobody else had done. Made the cost conversation much simpler.
From the blog
Next step
The check covers BMI, conditions and what you already take. It costs nothing, needs no card, and a clinician reviews the answers before anyone calls you.
Licensed clinicians · Eligibility reviewed before any prescription · Virtual appointments