Does My Insurance Cover GLP-1 Medications?

 As medications like Ozempic, Wegovy, Mounjaro, and Zepbound continue to rise in popularity for weight loss, many are left wondering: Does my insurance cover GLP-1 medications? Unfortunately, insurance coverage for these powerful treatments can be complex and inconsistent. Here’s how to navigate the process and understand your options.

GLP-1 receptor agonists (short for Glucagon-Like Peptide-1) include compounds such as semaglutide, tirzepatide, and liraglutide. These are marketed under brand names like:

• Ozempic (semaglutide): Approved for Type 2 diabetes, often used off-label for weight loss
   
• Wegovy (semaglutide): FDA-approved specifically for weight loss
   
• Mounjaro (tirzepatide): Approved for Type 2 diabetes, with notable weight loss effects
   
• Zepbound (tirzepatide): FDA-approved for weight management
   
• Saxenda (liraglutide): FDA-approved for weight loss
   

These medications help regulate blood sugar, suppress appetite, and slow down digestion—making them highly effective for weight loss and overall metabolic health.

Here are three reliable methods for checking your coverage for GLP-1 drugs like Zepbound, Wegovy, and Ozempic:

Use the member services number on your insurance card and ask these key questions:

• Does my plan cover weight loss or anti-obesity medications?
   
• Are brands like Ozempic, Wegovy, Mounjaro, Zepbound, or Saxenda included?
   
• Is prior authorization required?
   
• What are the criteria for approval (e.g., BMI, diabetes diagnosis)?
   
• What will my copay or out-of-pocket costs be?
   
• Is meeting a deductible necessary before benefits apply?
   

Many insurers have online formularies where you can check coverage details. Look for:

• Covered drug lists or prescription formularies
   
• Medication tiers, which affect your cost
   
• Prior authorization requirements
   

Always follow up with a call—online tools are helpful, but they may not be fully up to date.

If your plan is through an employer, your HR or benefits department can tell you whether weight loss medications are included. Some companies opt in or out of this coverage—so if it’s not available now, you may be able to advocate for future plan changes.

💡 Savings Tip: Many pharmaceutical companies offer savings cards or discount programs that can help lower the cost if your insurance covers part of the expense.

If your insurance does cover these medications, let your provider at New You Weight and Wellness know. We can help with the prior authorization process and ensure you meet the criteria for treatment.

🔹 Need guidance? Book a consultation with New You Weight and Wellness to explore custom weight loss plans and determine if GLP-1 medications are right for you.

By taking these steps, you can find out if you qualify for coverage—and move one step closer to achieving your weight loss and wellness goals.