How do insurers usually decide who gets GLP-1 coverage?
Direct answer: most common public criteria are BMI ≥30, or BMI ≥27 with specific weight-related comorbidities (type 2 diabetes, sleep apnea, etc.).
What should you do next if you look eligible?
Direct answer: get documentation of BMI and comorbidities from your clinician, check your plan’s prior authorization requirements, and compare telehealth programs if coverage is denied.