What Weight Loss Drugs Are Covered by United Healthcare?

Weight loss is a significant concern for many individuals seeking to improve their health and well-being. As a result, weight loss drugs have become increasingly popular. However, the cost of these medications can be prohibitive for some. This article will explore the weight loss drugs covered by United Healthcare, providing insight into which medications are accessible to policyholders.

Understanding United Healthcare’s Coverage Policy

United Healthcare is one of the largest health insurance providers in the United States, offering various plans and coverage options. To determine which weight loss drugs are covered by United Healthcare, it is essential to understand the insurer’s coverage policy. Typically, weight loss medications fall under the category of “medically necessary” treatments, which means they are covered if deemed appropriate by a healthcare provider.

Prescription Weight Loss Medications Covered by United Healthcare

Several prescription weight loss medications are covered by United Healthcare. These include:

1. Orlistat (Xenical): This medication works by blocking the absorption of fats from the diet, helping individuals lose weight. It is available in both prescription and over-the-counter forms, with the prescription version being more potent.

2. Phentermine: An appetite suppressant, phentermine is often prescribed for short-term use to help individuals lose weight. It is typically combined with diet and exercise.

3. Liraglutide (Saxenda): Liraglutide is a GLP-1 receptor agonist that helps regulate appetite and glucose levels in the body. It is approved for long-term use and has been shown to be effective in weight loss.

4. Bupropion/naltrexone (Contrave): This medication is a combination of an antidepressant and an opioid antagonist that helps reduce appetite and increase energy levels.

5. Qsymia (phentermine/topiramate): Qsymia is a combination of an appetite suppressant and a drug that affects the brain’s satiety centers, making individuals feel full faster.

Eligibility and Approval Process

To receive coverage for weight loss medications through United Healthcare, policyholders must meet certain criteria. These include:

1. Medical Necessity: A healthcare provider must determine that the weight loss medication is medically necessary for the policyholder’s condition.

2. Prescription: The medication must be prescribed by a licensed healthcare provider.

3. Prior Authorization: Some weight loss medications require prior authorization from United Healthcare before coverage can be provided.

Conclusion

Understanding which weight loss drugs are covered by United Healthcare can help individuals make informed decisions about their healthcare options. By working closely with their healthcare providers and understanding the coverage criteria, policyholders can access the necessary medications to support their weight loss journey.