Does insurance cover GLP-1 for weight loss?

Coverage varies by payer, by plan, and by indication.

Diabetes vs weight loss

• Diabetes: Ozempic, Mounjaro, Trulicity, Victoza, and Rybelsus are usually covered when prescribed for type 2 diabetes — often with a small copay.
• Weight loss only: Wegovy, Zepbound, and Saxenda are weight-loss-only FDA approvals. These typically require prior authorization, BMI ≥ 30 (or ≥ 27 with comorbidity), and documented prior weight-loss attempts.

Medicare and Medicaid

• Medicare Part D historically excluded weight-loss drugs but began limited coverage in 2024 for cardiovascular-risk indications.
• Medicaid coverage varies state-by-state — see our Medicaid coverage tracker.

What to do next

Use our insurance coverage checker to see if your plan likely covers your specific drug, and the appeal letter generator if your prior authorization was denied.