Letter To Patients
To our valued patients of Salveo,
It is with a very heavy heart that effective August 22, 2025, I am closing my Obesity Medicine practice due to financial
and health insurance issues. This website will remain active as a resource and point of contact through our designated records custodian for the duration of our record retention period — up to 21 years, and no less than 7 years.
In recent months, multiple changes to the accessibility and coverage of anti-obesity
medicines has drastically increased our administrative workload and patient access to our services. Appeals, prior
authorizations and communications are not covered by insurance reimbursements. Several insurance companies are
requiring patients to be seen by their chosen providers rather than giving their patients the option to see Salveo. CVS
Caremark has stopped covering Zepbound with no clear direction if appeals will be accepted. Express Scripts has
required patients to enroll in home-based weight monitoring and remote health coaching sometimes at odds with our
medical expertise. Benecard denies medications when normal BMI is achieved, against our advice. Many insurances are
using higher BMIs to approve medications, against the FDA and Obesity Medicine guidelines. Many plans have stopped
covering previously approved medications effectively preventing ongoing treatment.
As a result, it is financially and medically impossible to continue in private Obesity Medicine practice.
It been an honor and privilege to have been your health care provider, some of you for many years. I am
grateful for the opportunity to have served your medical needs.
I thank you for the opportunity of
working with you, and wish you the best of health, happiness, and success in your life ventures.
Sincerely,
Suzanne F. Mackey, MD, FACOG, Diplomat American Board of Obesity Medicine
Notes For Patients
Your health records from this Practice will be transferred to Morgan Records Management, LLC (“Records Custodian”).
The Records Custodian will continue to maintain your records in accordance with applicable confidentiality and security standards and with other applicable laws. Your records will be destroyed no less than seven years after the last date of services you received from this Practice, although most records will be held for at least 10 years from the date of last service, depending upon applicable state and federal record retention requirements.