Wegovy And Insurance Coverage

Has anyone had luck with insurance coverage? If so, what plan and is it a small business or large business corporate policy?

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I'm in Massachusetts and Wegovy is covered by my Harvard Pilgrim Healthcare plan.

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I'm currently on a large business insurance plan and was pleasantly surprised to find out that Wegovy is covered for me. My company is working with ibgportland, which covers it by the plan. Every insurance plan is different, but it might be worth reaching out to your insurance company to see what options are available to you. It can definitely be frustrating dealing with insurance coverage, but don't give up hope!

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Re: etm (# 1)

I have HP but they won’t cover it, even though my BMI is over 27 and I have an obesity related condition. I had a BMI of 30 but my previous insurance paid for ozempic, so I lost weight. Now HP won’t cover it.

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Insurance wants me to have been in a trial of behavioral modification and dietary restriction program for 3 months. Don't know how to prove this or what they consider proof or just documented by a doctor upon resubmission?

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