Does GEHA Cover Zepbound for Weight Loss?

GEHA, unfortunately, does not cover Zepbound for weight loss. GEHA’s weight loss medication coverage is limited to specific medications, and Zepbound is not among them. However, GEHA members can still receive support for weight management through discounts on insulin and preventive medications.

Alternative Weight Loss Options for GEHA Members

While GEHA does not cover Zepbound, members can explore other weight loss options:

  • Prescription Medications: Alternative prescription weight loss medications covered by GEHA include Ozempic, Wegovy, Saxenda, Qsymia, Contrave, and Plenity.
  • Non-Prescription Options: Non-prescription alternatives to consider include meal replacement shakes, appetite suppressants, and dietary supplements like green tea extract or caffeine.

Medicare Part D and Weight Loss Medication

Does Medicare Part D Cover Weight Loss Medication?

Medicare Part D does not provide direct coverage for weight loss medications solely for weight management. However, if a weight loss drug is FDA-approved for treating other medical conditions (e.g., type 2 diabetes), it may be covered under Part D.

Alternative Coverage Options for Medicare Beneficiaries:

  • Private Health Insurance: Some private insurance plans may offer weight loss medication coverage.
  • HSAs and FSAs: Health savings accounts (HSAs) and flexible spending accounts (FSAs) can be utilized to pay for weight loss medication expenses.