Introduction

Wegovy is one of the most effective prescription weight loss medications available today—but at a price tag of over $1,300 per month, many people are left asking:

“Will my insurance cover Wegovy?”

“If not, can I get it approved?”

The answer is yes—many patients successfully get Wegovy covered with the right documentation and support. In this guide, we’ll show you how to improve your chances of getting insurance approval, avoid common mistakes, and access savings programs.

Is Wegovy Covered by Insurance?

Coverage varies based on your plan type, employer, diagnosis, and state regulations.

💡 Even if your plan doesn’t list Wegovy outright, many patients still get it covered through prior authorization or appeals.

Step-by-Step: How to Get Wegovy Approved

✅ Step 1: Confirm You Meet Medical Criteria

Wegovy is FDA-approved for adults who:

• Have a BMI ≥30, or
• Have a BMI ≥27 plus a weight-related condition like:
• Type 2 diabetes
• Hypertension
• High cholesterol
• Sleep apnea
• PCOS

💡 You’ll need your doctor to include this info when submitting your request.

✅ Step 2: Ask Your Doctor to Submit a Prior Authorization

Most insurance companies require a prior authorization (PA) before covering Wegovy.

Your doctor will need to submit:

• A letter of medical necessity
• Documentation of your BMI and comorbidities
• Any previous failed weight loss attempts
• A treatment plan that includes diet, exercise, and medication

Some insurers provide a PA form; others accept a letter. Your doctor’s office will know which is needed.

✅ Step 3: Follow Up and Be Ready to Appeal

If your request is denied, don’t give up.

Ask for:

• A written explanation of the denial
• Steps to file an appeal
• Support from your provider to resubmit with more detailed documentation

📌 Many appeals are approved if you meet the criteria and submit complete info.

What If Insurance Still Won’t Cover It?

If your plan excludes weight loss medications, you still have other options:

1. Use the Wegovy Savings Card

• For patients with commercial insurance
• May reduce cost to as low as $0–$25/month

📌 Apply here: wegovy.com/savings-offer.html

2. Ask About Ozempic as an Alternative

If you have Type 2 diabetes or prediabetes, your provider may prescribe Ozempic instead. It’s often covered under diabetes benefits and contains the same ingredient (semaglutide).

3. Compare Canadian Pricing

Wegovy from a licensed Canadian pharmacy can cost $500–$600/month—less than half the U.S. retail price.

📌 Learn more:Canadian Wegovy RX Prescriptions

FAQ: Insurance + Wegovy

What if my plan doesn’t cover weight loss drugs at all?

Some plans exclude anti-obesity medications. In these cases, you may still be able to:

• Switch to another plan during open enrollment
• Submit a formal request for a policy exception

What documents help most in getting approval?

• A clear diagnosis (BMI + condition)
• A failed weight loss attempt history
• Provider notes about why Wegovy is medically necessary

Can my employer add coverage?

Yes—some employer plans can opt in to cover weight loss medications. Ask your HR department about benefits customization.

Final Thoughts

Getting Wegovy covered by insurance may take persistence and paperwork, but it’s absolutely possible—especially if you meet the medical criteria and have a supportive provider.

✔️ Work closely with your doctor
✔️ Be ready to appeal if denied
✔️ Use savings cards and compare international pricing if needed

📌 For downloadable authorization forms, appeal templates, and pharmacy links, visit the  Wegovy Insurance Help Center. 

📌 For live pricing updates and partner pharmacy links, visit our Wegovy Pricing Page and compare for yourself.