Why won’t insurance cover ozempic for pre-diabetics?

Anonymous
Wouldn’t that be better than waiting until there are major health issues for folks?
Anonymous
I am overweight but not pre-diabetic and my insurance covers Ozempic, which my doctor prescribes for weight loss.
Anonymous
I am pre-diabetic, and my insurance does cover my ozempic.
Anonymous
OP here. I guess I just have crap insurance (Carefirst).
Anonymous
Does United Health Care cover Ozempic?
Anonymous
Please name the insurance plans that are covering Ozempic!!!
Anonymous
Anonymous wrote:OP here. I guess I just have crap insurance (Carefirst).

Carefirst covers Ozempic for pre-diabetics; your employer just chose a plan that doesn't provide the coverage.
Anonymous
Anonymous wrote:
Anonymous wrote:OP here. I guess I just have crap insurance (Carefirst).

Carefirst covers Ozempic for pre-diabetics; your employer just chose a plan that doesn't provide the coverage.


My employer is my self. I guess the exchange plans don’t offer despite costing $1800 per month.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. I guess I just have crap insurance (Carefirst).

Carefirst covers Ozempic for pre-diabetics; your employer just chose a plan that doesn't provide the coverage.


My employer is my self. I guess the exchange plans don’t offer despite costing $1800 per month.


Considering novo is socking it to consumers I can see why an 1800/mo plan won’t cover a 1200/no drug.
Anonymous
Anonymous wrote:Wouldn’t that be better than waiting until there are major health issues for folks?


It probably covers a different semiglutide like Trulicity or one of the others
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. I guess I just have crap insurance (Carefirst).

Carefirst covers Ozempic for pre-diabetics; your employer just chose a plan that doesn't provide the coverage.


My employer is my self. I guess the exchange plans don’t offer despite costing $1800 per month.


Considering novo is socking it to consumers I can see why an 1800/mo plan won’t cover a 1200/no drug.


That’s my out-of-pocket premium. Do you pay that much?
Anonymous
Because insurance is about profit not health.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. I guess I just have crap insurance (Carefirst).

Carefirst covers Ozempic for pre-diabetics; your employer just chose a plan that doesn't provide the coverage.


My employer is my self. I guess the exchange plans don’t offer despite costing $1800 per month.


Considering novo is socking it to consumers I can see why an 1800/mo plan won’t cover a 1200/no drug.


That’s my out-of-pocket premium. Do you pay that much?

DP
We pay $1,600 a month for employer family plan and have a $6k family $3k individual deductible that includes prescriptions.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. I guess I just have crap insurance (Carefirst).

Carefirst covers Ozempic for pre-diabetics; your employer just chose a plan that doesn't provide the coverage.


My employer is my self. I guess the exchange plans don’t offer despite costing $1800 per month.


What kind of plan do you have???? I have BCBS and pay $450/month through the exchange for a platinum hmo and my plan covers Ozempic, Mounjaro (both $15/month) and even Wegovy (but it costs $100/month). I’m a nanny, not an investment banker. Age 48. Why does your insurance cost $1800 a month??
Anonymous
Nanny again- I’m really shocked by these premium prices, sis this for an entire family or just one person? I don’t have a deductible and don’t receive any help paying for my premium, but $450/month still feels really expensive. How are people paying $1600-1800 a month?
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