One of the largest struggles for my patients is obtaining insurance coverage for semaglutide, aka Wegovy, to treat PCOS and obesity.
- Unfortunately, it is still very difficult to obtain insurance coverage, which is why many patients prefer to use compounding pharmacies, which cost an average of $200-$500 per month. This is a very low cost compared to the $1500 or more a month at a commercial pharmacy such as Walgreens or CVS.
- There are a few strategies available, such as using your HSA (Health Savings Account). Many employers offer this high-deductible insurance plan, which allows you to deduct tax-free funds from your paycheck to this card, which can be used for any health-related services, including compounded medication.
- Another strategy is forgoing traditional insurance entirely and choosing a health Sharing plan that includes a weight loss program. Often, you must be a member for two years to obtain up to $3000 reimbursement for any obesity treatment recommended by a licensed provider. https://zionhealthshare.org/wp-content/uploads/2023/05/Member-Guidelines_05.2023-1.pdf. Learn more about Zion Health Share at https://zionhealthshare.org/. Discounts are also provided if your provider is a Zion Health Share Direct Primary Care Provider.
