GEHA’s Weight Loss Medication Coverage: Your Guide to Losing Weight
GEHA stands with federal employees in the fight against obesity by providing access to weight loss medications. This coverage empowers individuals to take control of their health and reach their weight loss goals.
Eligibility Criteria: Accessing GEHA’s Coverage
Essential Requirements:
- Body Mass Index (BMI) of 30 or higher
- Or BMI of 27 or higher with a qualifying medical condition (such as diabetes or high blood pressure)
- Healthcare professional’s diagnosis of obesity or related condition
- Approved weight loss treatment plan incorporating medication
Getting Started:
- Calculate your BMI or consult your doctor.
- Obtain an obesity or related condition diagnosis.
- Create a treatment plan with your doctor that includes weight loss medication.
- Submit a prior authorization request to GEHA if necessary.
Types of Medications Covered by GEHA
GEHA’s weight loss medication coverage includes two primary drug types:
- GLP-1 Agonists: Mimic hormones that control appetite (e.g., semaglutide, liraglutide).
- SGLT2 Inhibitors: Help eliminate excess glucose through urine, promoting weight loss (e.g., empagliflozin, canagliflozin).
Coverage may vary depending on your plan and the specific medication prescribed.
GEHA’s Commitment to Weight Management
GEHA recognizes obesity as a serious health concern and is dedicated to supporting its members in overcoming this challenge. By covering weight loss medications, GEHA empowers individuals to:
- Take proactive steps to manage their weight.
- Improve their overall health and quality of life.
Additional Considerations
- Coverage may be subject to out-of-pocket costs.
- GEHA encourages members to consult with their healthcare providers to discuss the appropriate weight loss medication options.
- GEHA may offer discounts or cost-saving measures for weight loss medications.