Does bcbs cover wegovy for weight loss?

I can only speak from my personal experience with my BCBS Illinois plan. They approved my Wegovy, but I had to show a history of high BMI and get a doctor's prescription. Every plan is different though, so my experience might not match yours.

I was looking into this because my love for biryani has finally caught up with my waistline! Apparently, some BCBS plans do cover it, but the paperwork is long. Honestly, till we get those approvals, I'm trying to control my late-night snacking cravings.

Look, instead of guessing, just log into your BCBS member portal online and check the drug formulary list. It will clearly show if Wegovy is covered or if it needs prior authorization. If it is too expensive, ask your doctor for older, more budget-friendly alternatives that might be covered.

I am also quite new to this and thoda hesitant to ask my doctor. Does anyone know if BCBS requires us to try a gym program or diet plans first before they approve Wegovy? I would really appreciate if someone could guide me on this.

BCBS coverage for Wegovy varies significantly because every employer chooses a different benefits package. It is best to have your physician submit a clinical evaluation showing it is medically necessary for you. Your doctor's clinical team knows exactly how to frame these requests for approval.