Independence restricts health coverage for weight loss drugs

Dec 21, 2024 · Beginning Jan. 1, people with IBX health plans will have to pay the full cost of GPL-1 agonists and other similar drugs when they are prescribed solely for weight loss.. IBX, …

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IBX Will No Longer Cover Drugs Like Ozempic When They Are …

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Dec 24, 2024 · GLP-1 receptor agonists, which can cost around $1,300 a month, have caused an increase in premiums that “affect all members, whether they utilize weight loss drugs or not,” …

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FAQs about Independence restricts health coverage for weight loss drugs Coupon?

Does IBX apply to all drugs prescribed for weight loss?

IBX’s decision applies to all drugs prescribed only to help a patient to lose weight and not to treat any other conditions. The rule takes effect on Jan. 1. That includes a class of extremely popular drugs known as GLP-1 receptor agonists, now prescribed to about one in eight American adults. ...

Does Independence Blue Cross cover anti-obesity drugs?

Visit inquirer.com. Distributed by Tribune Content Agency, LLC. Starting in the new year, Independence Blue Cross, the region’s largest health insurer, will no longer cover anti-obesity drugs like Ozempic and Wegovy when they’re prescribed solely for weight loss. ...

Does IBX cover GLP-1 drugs?

IBX will continue to provide coverage for GLP-1 drugs prescribed to your patients (our members) for FDA-approved medical conditions and indications, including type 2 diabetes and cardiovascular disease, with prior authorization. What this means for members ...

Is Ozempic a weight loss drug?

The drug is approved to treat Type 2 diabetes and has weight loss as a prominent side effect, so it's often prescribed off-label for this reason. The active ingredient in Ozempic, semaglutide, is also approved to treat obesity under the name Wegovy. ...

How much does Ozempic cost without insurance?

“But for obesity, these programs are not yet generally available, perhaps in part because insurance coverage is so poor,” he said. For instance, the cost of Ozempic without insurance can range from around $900 to over $1,000 per month, according to GoodRx. ...

Does IBX cover out-of-network pharmacies?

If your health plan has a maximum copay amount, that means that IBX will cover any expenses beyond that amount for a particular prescription and you only need to pay that maximum copay amount. If you use an out-of-network pharmacy, then you will be required to pay 70 percent coinsurance. ...