Need weight loss medication. Is it ccovered?

I have a high BMI and I'm in need of weightloss medication. Dr. Submitted and we are waiting for prior Authorization.  Who can I talk too?

  • It actually depends on what type of insurance you have and what kind of medicine it is. Some insurance covers weight loss medications depending on certain qualifications, while other insurance plans do not cover them at all. You can find out if yours does by checking its formulary list or contacting your insurance company.

    There are also programs such as ONGO that can offer assistance when managing your weight together with your healthcare provider. This might be something to consider. Your doctor will be able to advise you on the best choice for your case.

  • It really depends upon your insurance coverage. Certain insurance policies provide for weight loss drugs, but some policies might limit their coverage. The best way is to review your drug coverage plan or contact your insurance company.

  • Medication for losing weight is determined by your insurance coverage, the particular drug used, and the circumstances surrounding its use. While some insurances will cover the medication, others have conditions or restrictions regarding its coverage.

    In any case, you should check your insurance formulary or contact your insurance company to see whether the medication is covered. If not, a health care professional will advise you on the available options.

  • Hi there, I went through something similar earlier this year. My doctor also had to submit a prior authorization before my weight loss medication could be approved, and it took a little while to hear back. What helped me was calling the member services number on my insurance card and asking if they could check the status of the authorization and whether medications for obesity treatment were included in my specific plan. They were able to tell me if anything else was needed from my doctor. You might want to try that while you’re waiting so you know exactly where things stand. Good luck—I hope it gets approved for you soon! eggy car

  • Hello, I'm responding to you on your private message. ~ HC