Wegovy Coverage Update: Ending in 2025

Blue Cross Blue Shield of Michigan to Discontinue Wegovy Coverage

Blue Cross Blue Shield of Michigan (BCBSM) has announced that, effective January 1, 2025, they will no longer cover Wegovy for weight loss. This decision affects all fully insured large group commercial members and those who renew their plans after 2025.

Reasoning for the Change

BCBSM has not disclosed specific reasons for their decision but has hinted at concerns about cost and effectiveness.

Impact on Patients

This news may pose challenges for individuals relying on Wegovy for weight management. It is recommended to consult with your healthcare provider to explore other weight loss options or to continue using Wegovy through a prescription drug plan.

Alternative Coverage Options

While BCBSM will discontinue coverage, alternative options are available, including:

  • Ro: Subscription-based service that offers lower prices on Wegovy.
  • LifeMD: Telemedicine platform with potential financial assistance programs.
  • Government Assistance: Medicaid and Medicare may provide coverage for low-income individuals.
  • Support Networks: Patient advocacy groups and support networks can offer guidance and resources.

Moving Forward

To prepare for the discontinuation of coverage in 2025, it is important to:

  • Contact BCBSM to verify current coverage status.
  • Discuss alternative treatment options with your healthcare provider.
  • Explore alternative coverage options, such as those mentioned above.
  • Consider the financial implications and budgeting for potential out-of-pocket expenses.

BCBSM’s decision highlights the ongoing conversations surrounding weight loss drugs in the healthcare industry. By staying informed and exploring alternative options, patients can continue their weight loss journey effectively.