Trouble getting weight loss drugs covered by insurance? Here's what to know
Patients face significant hurdles obtaining insurance coverage for GLP-1 weight loss medications. While some large employers maintain coverage, others are cutting benefits or utilizing telehealth providers to control costs. New pill versions of these drugs may further complicate employer-sponsored insurance reimbursement.
What changed
Medicare is introducing a bridge plan to cover weight-loss drugs for $50 a month starting July 1.
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Insurance Coverage Challenges for GLP-1 Weight Loss Drugs
confidence 80%Patients face significant hurdles obtaining insurance coverage for GLP-1 weight loss medications. While some large employers maintain coverage, others are cutting benefits or utilizing telehealth providers to control costs. New pill versions of these drugs may further complicate employer-sponsored insurance reimbursement.
What's confirmed:
- Weight loss drugs generally cost about $1,100 per month without insurance or discounts.
- Manufacturer discounts and insurance can reduce monthly costs to between $0 and $25.
- Some employers are using telehealth providers to limit GLP-1 drug expenses.
Still unconfirmed:
- SHRM members are reducing mental health benefits to fund GLP-1 drugs.
- Physicians' insurance plans do not cover GLP-1s for obesity.
- Medicare GLP-1 Bridge plan will cost older adults $50 a month starting July 1.