Toggle navigation
Toggle navigation
Home
DCUM Forums
Nanny Forums
Events
About DCUM
Advertising
Search
Recent Topics
Hottest Topics
FAQs and Guidelines
Privacy Policy
Your current identity is: Anonymous
Login
Preview
Subject:
Forum Index
»
Diet, Nutrition & Weight Loss
Reply to "Any Feds on Wegovy or Saxenda? "
Subject:
Emoticons
More smilies
Text Color:
Default
Dark Red
Red
Orange
Brown
Yellow
Green
Olive
Cyan
Blue
Dark Blue
Violet
White
Black
Font:
Very Small
Small
Normal
Big
Giant
Close Marks
[quote=Anonymous][quote=Anonymous]Fed guidance doesn't say they can't exempt them. It says they have to provide "adequate coverage" for anti-obesity therapies...and a payor will find a lot of ways to provide "adequate coverage" that aren't what you think they should be. I would broadly expect that if you aren't clearly within the prescribing guidelines you won't be covered. Meaning you won't get coverage for wanting to lose 20-30lbs...you will have to meet the labeling guidelines for BMI or medical conditions exacerbated by BMI. These drugs are expensive and while there are definitely value arguments to made, insurers will try to find a lot of reasons to not cover them if they can. [/quote] Sorry I should have clarified that the Fed guidance says plans can't exempt the entire category of anti-obesity meds...but it does not provide that they have to provide coverage for these specific drugs. [/quote]
Options
Disable HTML in this message
Disable BB Code in this message
Disable smilies in this message
Review message
Search
Recent Topics
Hottest Topics
