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

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Does United Health Care cover Ozempic?

OMG. You guys are such idiots. You need to talk to your HR. They negotiate coverages with insurance companies. If your insurance plan doesn't cover it, it's because your employer said no.

You are the idiot. Some of us are self-employed and must buy health insurance through the exchange.

And we're all idiots to enrich health insurance executives rather than having nationalized health plans.

Which would also be an enormous incentive to do more preventive care like weight loss medication.

In a rational world, yes, but it would become a political hot potato. Also Kaiser, which is normally really good about preventative care, would not cover or prescribe semiglutide. I switched to BCBS which has been covering it for my obese, borderline pre diabetic self.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Does United Health Care cover Ozempic?

OMG. You guys are such idiots. You need to talk to your HR. They negotiate coverages with insurance companies. If your insurance plan doesn't cover it, it's because your employer said no.

You are the idiot. Some of us are self-employed and must buy health insurance through the exchange.

And some of us have small group plans. Those employers can't negotiate from what I understand.

I’m on a small group plan with Carefirst and I’m able to get Ozempic. I qualified due to taking metformin previously and for diagnoses of metabolic syndrome and obesity.

[Anonymous]

Anonymous wrote:Wouldn’t that be better than waiting until there are major health issues for folks?

Other than making everyone's premium go up by 10-20% easy I don't see the problem here.

No Justice No Peace.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Does United Health Care cover Ozempic?

OMG. You guys are such idiots. You need to talk to your HR. They negotiate coverages with insurance companies. If your insurance plan doesn't cover it, it's because your employer said no.

You are the idiot. Some of us are self-employed and must buy health insurance through the exchange.

And we're all idiots to enrich health insurance executives rather than having nationalized health plans.

Which would also be an enormous incentive to do more preventive care like weight loss medication.

Lol at calling weight loss medication preventive care. Preventive care would be to not get to a place of needing this medication in the first place.

Sure, let me know when you figure out how to eliminate stress from a pandemic and menopause because before that I was a normal weight.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Wouldn’t that be better than waiting until there are major health issues for folks?

Other than making everyone's premium go up by 10-20% easy I don't see the problem here.

No Justice No Peace.

But….. by preventing obesity, then the insurance companies don’t have to pay for the treatments for all of the things that are associated with obesity. It seems like that would offset the cost of the medication to the insurance company by a lot!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wouldn’t that be better than waiting until there are major health issues for folks?

Other than making everyone's premium go up by 10-20% easy I don't see the problem here.

No Justice No Peace.

But….. by preventing obesity, then the insurance companies don’t have to pay for the treatments for all of the things that are associated with obesity. It seems like that would offset the cost of the medication to the insurance company by a lot!

I think you can safely assume that as long as the payors are not covering the drug, then their math is telling them the better value is treating the resulting conditions and not the preventive care. If the preventive care proves to be a better financial value, then they will switch to covering the drug. Any broader coverage is going to probably make the drug much harder for off-label use, however, given its cost. Will almost definitely be PAed and have some very strict coverage limits...vanity weight loss will likely get no coverage at all.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Wouldn’t that be better than waiting until there are major health issues for folks?

Other than making everyone's premium go up by 10-20% easy I don't see the problem here.

No Justice No Peace.

And yet I wonder how much of a premium mark up I’m paying for all your children and their exploding medical diagnosis’s these days..

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Does United Health Care cover Ozempic?

OMG. You guys are such idiots. You need to talk to your HR. They negotiate coverages with insurance companies. If your insurance plan doesn't cover it, it's because your employer said no.

You are the idiot. Some of us are self-employed and must buy health insurance through the exchange.

And we're all idiots to enrich health insurance executives rather than having nationalized health plans.

Which would also be an enormous incentive to do more preventive care like weight loss medication.

Lol at calling weight loss medication preventive care. Preventive care would be to not get to a place of needing this medication in the first place.

Which they also have no incentive to do... Health insurance companies are worthless vampires, they bring zero value for an enormous cost.