I Have Good Insurance, Why Won't It Cover Wegovy/Ozempic or Zepbound/Mounjaro?

Published 2024-02-20
Confused about the insurance coverage issues for Anti-Obesity Medications like Wegovy or Zepbound? You aren't alone.

In this video I talk about WHY insurance coverage for these medications is so complicated, and provide some ideas for how to navigate the challenges.

The information provided in this video is for educational purposes only. Watching this video is not a substitute for medical advice from your healthcare professionals, EVEN IF you are a patient of mine. Watching this video does not create a doctor-patient relationship, and following the advice outlined in this video is done at your own risk. I encourage you to have a conversation with your Physician or Health Professional to determine the right course of action for YOU.

Similarly, this video is not an endorsement for any particular medication; I do not have any financial relationships with the manufacturers of these medications, which are currently available as brand name products, and not as generics.

All Comments (4)
  • @cloakster
    Great topic, great information provided. Thanks. 🙏 However, while the audio was thankfully unaffected, the video stop-started many times, aka regular temporary freezing. At least on my iPhone it does this.
  • You answered my question about how to continue my treatment when my six month authorization is over. I actually have been on Mounjaro and now Zepbound since last July and have lost 52 pounds. By June, I will definitely be at a low enough BMI that I would not qualify. So my doctor just needs to reference the original BMI and show it as ongoing treatment. Thank you for the great information! I am thankful my insurance covers weight loss meds but know so many other insurance companies are not yet covering.
  • They have been out of my 10mg mounjaro for over a month. I'm getting very concerned I read they will be in stock by September. My insurance will pay for mounjaro, but not Zepbound. I'm not even sure if they have zepbound at this time. I've lost 50lbs so far. This mounjaro has helped me so much with my nash, fatty liver disease. My liver enzymes were sky high are now normal and my fatty liver looks totally normal. It's like a miracle drug for me so far. My blood work looks like a normal, healthy 20 year old. I'm over 50! I need to continue to take this med for life. Obesity is an disease and never goes away and we need treatment forever. Does anyone know where i can get the mounjaro?