Insurance answers
Medicaid and Weight Management in Maryland
Maryland Medicaid is delivered through managed care organizations, and weight-management coverage differs between them and changes with state formulary decisions.
What varies by MCO
Which anti-obesity medications appear on the formulary, what prior-authorization criteria apply, and whether step therapy is required all vary by plan.
Visit coverage is generally more consistent than medication coverage.
Note on specific plans
We are not contracted with Medstar Family Choice, Jai Medical Systems, or Kaiser Permanente. If you have one of these, the self-pay path is available at published prices.
How FRDC handles this
Choose Insurance on the new patient intake and enter your carrier. Our team verifies your benefits before your first visit and tells you what you will owe. If your plan is one we are not contracted with, the intake form tells you immediately and shows you the self-pay path instead of letting you find out later.
Self-pay pricing is published: $150/month clinic fee (once every 90 days at maximum Mounjaro dose), Phentermine + B12 $84/month, Mounjaro or Zepbound $399–499/month, Ozempic or Wegovy $199–399/month, B12 injections $15 each. Your information is used only to schedule and verify coverage.
Results framing
Your clinician sets your goals — many plans target 10–16 lbs/month with strict protein protocols; individual results vary.
Medication and dosing are always determined by your clinician after evaluation.
Frequently asked questions
- Which Medicaid plans do you work with?
- Commonly Amerigroup, Maryland Physicians Care, and Priority Partners, among others. We verify your specific plan.
- Is there a copay?
- Maryland Medicaid copays are limited; verification will confirm your specifics.
- What if my medication is not on the formulary?
- Your clinician can discuss covered alternatives or the self-pay route.
Keep reading
- Medicare and Weight Management
Medicare's treatment of weight-management care is narrower than most commercial coverage, and Part D historically excluded medications used solely for weig
- What to Do If Your Plan Denies Coverage
A denial is not the end of the process. It is a decision that can be understood, appealed, or routed around with a different plan of care.
- Silver Spring clinic & Maryland telehealth
In-clinic at 11303 Amherst Ave STE 2, Silver Spring, MD — plus telehealth across Maryland, including Saturday and Sunday.
- FRDC blog
Articles on pain care access, GLP-1 program costs, telehealth, and insurance in Maryland.