What Insurance Companies Cover Wegovy

Wegovy, also known as semaglutide, is a new medication that was recently approved by the FDA for weight management in adults who are overweight or obese. This medication is a once-weekly injectable that works by mimicking the effects of a hormone called glucagon-like peptide-1 (GLP-1), which helps to regulate appetite and metabolism. However, like most prescription medications, the cost of Wegovy can be quite high, which is why many people are wondering if their insurance covers this drug.

What is Wegovy?

Wegovy, also known as semaglutide 2.4 mg, is a medication that is used to help overweight or obese adults lose weight. This medication is indicated for use in combination with a reduced-calorie meal plan and increased physical activity. Wegovy is a once-weekly injection that is self-administered under the skin.

Wegovy works by mimicking the effects of a hormone called glucagon-like peptide-1 (GLP-1), which helps to regulate appetite and metabolism. By activating GLP-1 receptors in the brain, Wegovy can reduce appetite and increase feelings of fullness, leading to lower calorie intake and weight loss.

What Insurance Companies Cover Wegovy?

The cost of Wegovy can be quite high, with a monthly cost of around $1,300-$1,500 without insurance. However, many insurance companies do cover this medication, at least partially. The exact coverage and out-of-pocket costs will depend on your specific insurance plan.

Some of the insurance companies that cover Wegovy include:

Insurance Company
Coverage
Aetna
Covers with prior authorization and medical necessity
Anthem Blue Cross Blue Shield
Covers with prior authorization and medical necessity
Cigna
Covers with prior authorization and medical necessity
Humana
Covers with prior authorization and medical necessity
United Healthcare
Covers with prior authorization and medical necessity

Keep in mind that this is not an exhaustive list, and coverage may vary depending on your specific plan and location.

FAQ

What is the cost of Wegovy without insurance?

The cost of Wegovy without insurance can be quite high, with a monthly cost of around $1,300-$1,500.

How do I find out if my insurance covers Wegovy?

You can contact your insurance company directly and ask about your coverage for Wegovy. You may need to provide information about your medical history and weight management goals to determine if you meet the criteria for coverage.

What if my insurance doesn’t cover Wegovy?

If your insurance does not cover Wegovy, there are other weight loss medications and programs available that may be more affordable. Talk to your doctor about other options that may be right for you.

What are the potential side effects of Wegovy?

Some common side effects of Wegovy include nausea, vomiting, diarrhea, constipation, abdominal pain, and headache. More serious side effects may include pancreatitis, gallbladder problems, kidney problems, and allergic reactions. Talk to your doctor about the potential risks and benefits of this medication.

Is Wegovy a magic pill for weight loss?

Wegovy is not a magic pill for weight loss. While this medication can be a helpful tool for weight management, it is not a substitute for a healthy diet and exercise. To achieve sustainable weight loss, you need to make long-term lifestyle changes.

In conclusion, while the cost of Wegovy can be quite high, many insurance companies do cover this medication, at least partially. Be sure to check with your insurance provider to determine your specific coverage and out-of-pocket costs. And remember, Wegovy is not a magic pill for weight loss – it is just one tool in the journey towards a healthier lifestyle.