RCMP Weight Management Program Criteria for K & G Divisions

 Weight Management programs must be recommended by the HSO and be financially approved by the manager of Health Services responsible for occupational health.

Criteria for approval: 

• BMI of 30 or, in the presence of other risk factors such as Hypertension or Type 2 Diabetes, a BMI of 27.

What is required:

• A written referral is required from a medical doctor.

The program must include:

1. Diet plan administered by a registered dietitian.

2. Exercise program administered by a certified exercise specialist from the Canadian Society of Exercise Physiology or a fitness professional with a university degree in the fields of fitness, exercise physiology, kinesiology or physical activity. 

Cap on Funding

K & G Divisions has introduced a $4000 “cap” for funding of the Weight Management program per lifetime, per member.

Providers of these programs can be direct billed to Blue Cross (with pre-authorization) or reimbursed to members via the Medavie Blue Cross claim form. 

How to apply for the program (K Division)

Documentation to be submitted in one email: 

• Completed intake form by your physician, exercise specialist, or dietitian          
• Treatment plan from your exercise specialist 
• Cost breakdown from your exercise specialist with the duration and total costs (must come from the exercise specialist, this can be included in treatment plan but this must come from the exercise specialist and not in an email from the client)      
• Treatment plan from your dietitian (not a nutritionist) 
• Cost breakdown from your dietitian with the duration and total costs (must come from the dietician, not in an email from the client)
• Certification of education from your exercise specialist (just the degree)
• Certification of education from your dietician 

How does billing work?

Once you have submitted all of the above paperwork, it will be submitted to the HSO for review.  If you are approved for the program, an authorization code will be issued to you, or your provider, along with instructions on how to claim for reimbursement.  

Reimbursement is at 100%. If your provider does not direct bill, you will be required to pay up front and submit your receipts to Medavie Blue Cross.

What else should you know?

Health Services requires a three-month treatment plan from your provider.  

Funding Cap of $4000 per lifetime, per member. 

Always include your HRMIS number in all correspondence with Health Services. 

.Click here for a printable letter to take to a medical appointment with a doctor for the written referral.

Questions about the nutrition and fitness plans? Book an introductory call to discuss options for the diet and exercise programs.