Does BCBS Cover Weight Loss Injections?
If you have Blue Cross Blue Shield (BCBS) insurance, does bcbs cover weight loss injections? The answer is “yes” if the medication is prescribed for medically necessary treatment. The specifics of this treatment will vary based on your health plan and state.
Ozempic is a weekly injection that contains semaglutide and has been FDA-approved to help patients lose weight. It belongs to a class of medications called GLP-1 (glucagon-like peptide) agonists and works by blocking the stomach’s ability to absorb fat, slowing digestion, and increasing satiety. It is intended to be used in conjunction with a reduced-calorie diet and increased physical activity for long-term weight loss. The drug has been shown to be safe and effective for most patients.
BCBS is one of the largest healthcare insurance companies in the United States, covering 118 million people. The company is comprised of 34 independent, locally operated Blue Cross and Blue Shield plans. Despite the large size of the network, each plan has unique coverage policies and can vary in whether or not they cover weight loss injections.
To check your individual BCBS insurance plan, look at its prescription drug formulary. This will detail where the drug falls in its tier system, whether it’s preferred or nonpreferred, and any prior authorization requirements. Typically, most BCBS plans house their formularies in the member benefits or resources sections of their websites. If your plan does not list Ozempic, consider contacting your provider or seeking assistance from a healthcare advocate or legal professional who specializes in insurance appeals
