Coverage hub
GLP-1 Insurance & Coverage Hub
The four coverage doors — plan benefits, indication side doors, the new Medicare opening, and manufacturer savings — and the programs built to walk you through them.
Start here
The complete playbook is GLP-1 insurance coverage in 2026: 43% of large employers now cover, prior-auth mechanics, the appeal that works, and the mid-2026 Medicare Part D opening (~$50 Zepbound copays for qualifying patients). The short version: with any coverage, a $25–$50 copay beats every cash price on this site — check coverage before shopping the cash market.
The side doors
Weight-loss exclusions don't close every door: Wegovy's cardiovascular indication (SELECT), Zepbound's sleep-apnea indication, and diabetes diagnoses each route around exclusion language when the diagnosis is real — details in the guide, programs that file the paperwork in the insurance-navigation ranking (Ro and WeightWatchers Clinic lead).
When coverage fails
The fallback ladder: manufacturer self-pay ($299–$449 brand, with $149–$199 intro offers), then the compounded cash market with its caveats, with HSA/FSA dollars discounting either by your tax rate.