In this file
Eligibility for a prescription is more specific than eligibility to open an account. With Hers, a BMI statement can be useful background, but the clinician still has to consider the treatment, history, and relevant risks. A payment receipt or completed questionnaire does not decide that clinical question.
Before deciding what to do, identify the exact plan or prescription involved. The answer below separates the provider’s documented position from details that still need confirmation. It also gives the next questions to ask and connects them to the relevant care, account, or payment issues.
What BMI and health criteria apply to Hers?
Hers’ BMI guide lists injection thresholds of 30 or higher, or 27 or higher with a qualifying condition, while discussing different criteria for certain oral medications. It explicitly says the calculator does not decide treatment eligibility. The clinical review must address the particular prescription and medical history; an oral-treatment threshold is not a GLP-1 clearance.
Explain your circumstances accurately
Prepare current measurements, the medication list, relevant conditions, and details of previous weight-management treatment. Include important changes since the last assessment and any gap in care. If you already use a prescription, provide its label and explain whether the request is for continuation or a different treatment.
Do not omit history or change measurements to satisfy a form. If a question does not fit your circumstances, ask the clinical team how to clarify it. Published adult thresholds do not automatically apply to every oral option, pediatric program, or product with a different labeled indication.
Clarify a boundary or a declined application
Ask the clinician how the provider’s stated criteria apply when you are exactly at a cutoff or have a continuing-care history. A calculator cannot resolve those details. If the company has not published a complete rule, general medical guidance should be labeled as context rather than a confirmed acceptance policy.
After a refusal, ask whether the reason is medical ineligibility or missing information and what further evaluation is appropriate. Take the payment question to billing and identify the relevant refund provision. Clinical approval and insurance coverage also remain separate. A prescription can be medically appropriate without being covered, and coverage paperwork cannot obligate a clinician to prescribe.
Apply the answer to the actual Hers order
If you already receive care, bring the dispensing label and clinical records showing the treatment and its timing. A lower weight after treatment does not independently tell a new clinician whether to continue, change, or stop the prescription. Ask how those records will be evaluated before cancelling your existing arrangements.
Clinical approval also does not decide the payment question. Obtain the complete cost for the selected medication and any membership, and check coverage separately if an insurer is involved. Keep the resulting prescription, invoice, and plan terms together so you can tell which decision each document records.
If the clinician declines the requested medicine, ask what additional evaluation or other treatment might be appropriate. Buying access to an assessment does not oblige a healthcare professional to issue that prescription.
Hers discusses different thresholds for different treatment pathways, and its calculator is not a prescribing decision. Verify whether the question concerns an injection or an oral option before comparing any stated number. The clinician also needs the history relevant to starting or continuing treatment. If an assessment is declined, ask what additional evaluation may be appropriate and how the purchase terms apply. A useful eligibility answer identifies the actual medication under consideration rather than treating the brand’s entire range as one product with one cutoff.
When contacting the team, include the dated document you are asking about and explain the specific decision it affects. Request a response that identifies the product, order, or assessment rather than a general statement about the entire program. Preserve that response with the relevant care and payment records.
Source notes
Provider material describes the company’s own offer. Official medical references explain clinical and regulatory context; they do not endorse this publication or its commercial partner.
- BMI Calculator | BMI Chart for Women ↗Provider-published information · Checked September 23, 2026
- Prescription Medications to Treat Overweight & Obesity - NIDDK ↗Medical reference · Checked September 23, 2026
- Terms and Conditions | Hims ↗Provider-published information · Checked September 23, 2026