STAT
MARCH 7, 2025
UnitedHealth Group, the largest health care company in the U.S., The sprawling conglomerate — which owns a major health insurance company, physician practices, a pharmacy benefit manager, and numerous other firms — acquired or created more than 250 subsidiaries in 2024.
The Checkup by Singlecare
JULY 15, 2025
Although health insurance companies tend to cover GLP-1 agonists as a treatment for Type 2 diabetes, coverage for weight loss is less common. That said, insurance formularies can change for a variety of reasons, and it can be frustrating to find that your GLP-1 medication is no longer covered.
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The Checkup by Singlecare
JUNE 10, 2025
Formulary Every insurance plan has a long document that shows how it covers each prescription medicine, called a formulary. Aetna’s many formulary documents show that Contrave (when it’s listed) often falls under non-preferred brands. Some plans will, in fact, provide coverage. It’s all based on a few different variables.
The Checkup by Singlecare
AUGUST 5, 2025
Each health insurance company publishes a list of drugs that it covers in a document known as a formulary or drug list. There are six drug classes that must always be covered, but urological antispasmodic medications (those that relax the bladder muscles) like Gemtesa aren’t bound by this rule. Formularies vary by plan.
The Checkup by Singlecare
JUNE 5, 2025
When Zepbound is covered, prior authorization is usually required, and the patient may need to meet clinical requirements such as a BMI of 30 or more or a BMI of 27 or more with a comorbid condition like hypertension or Type 2 diabetes, and documented weight management efforts like a low-calorie diet and increased physical activity.
The Checkup by Singlecare
APRIL 15, 2025
Requirements for coverage can include a certain body mass index ( BMI ) threshold, documentation of previous healthy lifestyle changes and weight loss efforts, and weight-related comorbidities. Weight-related comorbidities refer to health conditions caused by obesity , like dyslipidemia, hypertension , Type 2 diabetes , or sleep apnea.
The Checkup by Singlecare
AUGUST 5, 2025
You can also look at your insurance plan documents online by logging into your BCBS account. Sometimes health insurance companies have a formulary search bar where you can enter the name of a drug and quickly find out if it’s covered. Look for the formulary or drug list.
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