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

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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Wouldn’t that be better than waiting until there are major health issues for folks? [/quote]

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

No Justice No Peace.[/quote]

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![/quote]

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. [/quote]

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