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Reply to "Fep Blue Standard GLP- coverage for obesity?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Well after 3 years with a prior authorization (not always filled over that time) FEP BCBS denied my prior authorization. Not sure why yet given I have lots of other health issues. Thought I’d share because it may be a trend.[/quote] My bet is that with Trump negotiating for cash prices to drop there is a range of cost where insurers have determined that if its less than X dollars out of pocket then people will buy it using cash versus using insurance and then the insurer will still get all the benefits of those of us who have decreased BMI, decreased cholesterol, decreased inflammation, etc. without having to cost share it. They are negotiating Medicare/Medicaid costs for it so those who cant afford OOP will be covered thus leaving only LMC in the lurch. Add in that Lilly has multiple new GLP-1s ++ in trials. [/quote] +1. And insurance companies cover for these denials with gaslighting about 22 BMI influencers. [/quote]
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