Prescription Weight Loss Medication Insurance Program
Your Pathway to Affordable Weight Loss Medications**
Program Overview
Our Insurance Program is designed to help you navigate the complexities of insurance coverage for prescription weight loss medications. With a focus on the most prescribed medications such as Wegovy, Ozempic, Zepbound, and Mounjaro,we aim to make your journey towards health and wellness both affordable and accessible.
Eligibility and Coverage
Insurance Accepted: Only commercial insurance plans are accepted. Please note, Medicaid or Medicare are not options within our program.
Process: We undertake the process of prior authorization and, if needed, appeals to secure coverage for your prescribed medication. However, we cannot guarantee coverage for all applicants.
Rate: While we do not provide a guarantee of coverage, we boast a high success rate of approximately 75%.
Membership Pricing
Membership Fee: $75 per month
Cancel Anytime: You have the flexibility to cancel your membership at any time, providing you with full control over your commitment.
Receive your prescription on a monthly basis without any hassle.
Have your health monitored and your questions answered by a licensed medical doctor, ensuring your treatment is both safe and effective.
Our dedicated team will handle all the necessary paperwork for prior authorization and, if needed, appeals to ensure your medication is covered by your insurance.
If your prescribed medication is unavailable, our team will assist in locating it, ensuring that your treatment is uninterrupted.
Through our partnership with Across Specialty Pharmacy, you’ll have access to your prescribed medications, minimizing common stock issues.
Book a Consultation
Select you preferred consultation style: text or voice. Enjoy a convenient and flexible consultation on your terms.
Medical Provider Review
a thorough review of your medical history to ensure medication safety. Engage in discussions about the risks, benefits, and alternative treatments. Collaborate with your provider to identify the most suitable treatment plan.
Get Your Medication
If suitable, a prescription will be issued to our affiliated pharmacy. Benefit from a well-stocked pharmacy and the completion of any necessary prior authorizations by our expert team. Experience seamless communication and support throughout the process. Enjoy complimentary shipping directly to your doorstep.
Explore our comprehensive care options tailored to your medication needs:
Your medical provider will submit your prescription to our partnered pharmacy, Across Specialty Pharmacy.
Explore our comprehensive care options tailored to your medication needs:
Depending on your health insurance plan, you may encounter the following outcomes: Accepted: You could pay as low as $25, based on your coverage. Prior Authorization Required: Our team will handle the approval process and keep you informed throughout. Out of Network: If our partner pharmacy is not recognized by your insurance, we’ll discuss alternative solutions. Denied: We will explore other options with you, such as compounded medications.
Timeframe
The entire process typically takes between 2-3 weeks, often sooner.
Important Considerations
Copays: Most copays, once approved, are either free or $25. However, the actual amount may vary based on your individual plan or deductible. We do not determine copay amounts and cannot offer guarantees.
Communication: You will be directly informed of the outcome, and your health insurance will also communicate with you regarding the coverage.
While we offer the option for local pharmacy pickup, we don’t recommend it due to frequent stock issues. Our default shipping option through Across Specialty Pharmacy ensures that your medication is always in stock.
If your medication is on back order, we will assist in finding it for you and can place you on a waitlist. Alternatively, you have the option to switch to a compound version of the medication.
Yes, you can discuss switching medications with your provider to find the most effective option for your needs.
The entire process typically takes 2-3 weeks, often shorter, ensuring you can start your weight loss journey as soon as possible.
Medications are shipped from our partner pharmacy, Across Specialty Pharmacy, directly to you at no additional charge.
No, you do not need prior authorization for refills once your initial prescription has been approved.
Yes, dosage adjustments can be made after discussing your progress and health with your provider.
The membership includes monthly prescriptions, unlimited access to medical doctors, insurance concierge services for prior authorization, assistance with finding medications when out of stock, and access to our partner pharmacy with medications in stock, all for a $75 monthly membership fee.