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Wegovy Insurance Coverage

Direct Answer

Wegovy coverage for obesity genuinely varies by payer, ranging roughly from 50% to 72% of commercial plans depending on the specific insurer, with prior authorization required across the board (typically BMI 30+, or 27+ with a comorbidity). A separate, often stronger coverage pathway exists for Wegovy's FDA-approved cardiovascular risk-reduction indication, worth mentioning to your provider if you have documented cardiovascular disease.

Medicare Specifically

Standard Medicare doesn't cover Wegovy for weight loss alone, but does cover it for the cardiovascular indication. The new Medicare GLP-1 Bridge Program, starting July 1, 2026, opens a real, direct weight-loss coverage pathway at a $50/month copay.

Coverage varies by specific plan, employer, and state. This information reflects publicly available data as of August 2026.

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