Here are 10 points for "does bcbs cover wegovy for weight loss

1. BCBS may cover Wegovy for weight loss, but you must meet certain criteria. These criteria vary depending on your specific BCBS plan and state.

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2. Generally, you will need to have a body mass index (BMI) of 30 or more, or a BMI of 27 or more with a weight-related health condition, such as type 2 diabetes, heart disease, or sleep apnea.

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3. You will also need to have tried and failed to lose weight through lifestyle changes, such as diet and exercise, for a certain period of time. This is typically at least 6 months.

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4. Your doctor will need to submit a prior authorization request to BCBS for coverage of Wegovy. This request will need to include documentation of your weight loss attempts and your weight-related health condition(s), if applicable.

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5. BCBS may deny coverage for Wegovy if you have certain medical conditions, such as uncontrolled diabetes or a history of pancreatitis.

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6. Even if your BCBS plan covers Wegovy, you may still have to pay a copay or coinsurance for the medication.

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7. The cost of Wegovy can be high, even with insurance. The average wholesale price of a one-month supply of Wegovy is over $1,300.

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8. There are other weight loss medications available that may be covered by BCBS. These medications may have different coverage criteria and side effects than Wegovy.

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9. It is important to talk to your doctor about whether Wegovy is right for you and to discuss all of your treatment options.

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10. You can find more information about BCBS coverage for Wegovy by contacting your BCBS plan directly or by visiting the BCBS website.

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