This service is only for foreign residents in Korea. Overseas residents are not eligible.
EN

English consultation available — No language barrier

다이어트 기초·원인 이해
다이어트 기초·원인 이해

Q. Are weight loss herbal medicines covered by private health insurance? I'm curious why they aren't.

A.

Generally, herbal medicines prescribed solely for weight loss are not covered by private health insurance. Insurance companies strictly distinguish between 'therapeutic treatment' and 'cosmetic purposes,' and weight loss usually falls into the latter. However, coverage may vary if weight management is medically necessary to treat underlying conditions like hypertension or diabetes; please verify the specific terms with your insurance provider.

📝 Detailed Answer

It is understandable to feel frustrated when insurance coverage is denied, but the criteria used by insurance companies are often very rigid. From a medical perspective, weight gain is not simply a result of overeating. In Traditional Korean Medicine (TKM), it is often caused by pathological states such as 'Dameum' (痰飮, phlegm-fluid retention) that obstructs circulation, or 'Eohyeol' (瘀血, blood stasis). These conditions impair metabolic capacity, making it difficult for the body to lose weight. TKM specifically focuses on 'Bi-heo' (脾虛), or deficiency of the Spleen. As the Spleen is the central organ for nutrient absorption and transport, its dysfunction leads to a state where energy is not utilized and waste products accumulate instead. Therefore, TKM weight loss medicine is not merely an appetite suppressant; it is designed to correct these internal imbalances and create an environment where the body can naturally burn energy. Because insurance companies categorize this process as 'wellness management' or 'cosmetic enhancement' rather than an essential 'medical cure,' coverage is typically unavailable. While the cost can be a burden, addressing the root cause of your metabolic imbalance is the most efficient way to achieve long-term health and save time and resources in the future.
#cause-explanation #cause-chain
Dr. Yeonseung Choe

Expert Verified

Dr. Yeonseung Choe

Chief Director

← Back to 다이어트 기초·원인 이해

Related Resources

Useful Next Reads

Current page Are weight loss herbal medicines covered by private health insurance? I'm curious why they aren't.

Continue with the most relevant guides and care pages.

Best Next Read Program

백록감비정

굶지 않고, 힘들지 않게. 표준 처방 태블릿으로 복용 설계(용량·시간)로 개인화하여 요요 없이 건강하게 체중 관리를 도와드립니다.

View program