{"id":627514,"date":"2024-03-21T12:15:52","date_gmt":"2024-03-21T16:15:52","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627514"},"modified":"2025-10-23T15:57:52","modified_gmt":"2025-10-23T19:57:52","slug":"is-wegovy-covered-by-blue-cross-blue-shield","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/is-wegovy-covered-by-blue-cross-blue-shield\/","title":{"rendered":"Is Wegovy covered by Blue Cross Blue Shield?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy\"><span style=\"font-weight: 400;\">Wegovy<\/span><\/a><span style=\"font-weight: 400;\"> (semaglutide) is the first weight loss medication approved by the Food and Drug Administration since 2014. It is a weekly injection in a class of medications called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/glp-1-agonists\"><span style=\"font-weight: 400;\">glucagon-like peptide-1 (GLP-1) agonists<\/span><\/a><span style=\"font-weight: 400;\"> that stimulate the production of insulin to reduce blood sugar and slow the digestion process. GLP-1 agonists are also believed to interact with parts of the brain that reduce appetite and signal fullness. Insurance may cover Wegovy for patients who meet coverage requirements, but coverage varies by plan, and some policies don\u2019t cover weight loss medications at all. Here\u2019s what you should know about Wegovy coverage if you have a Blue Cross Blue Shield policy.<\/span><\/p>\n<p><span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:6849,&quot;3&quot;:{&quot;1&quot;:0},&quot;9&quot;:1,&quot;10&quot;:2,&quot;12&quot;:0,&quot;14&quot;:{&quot;1&quot;:2,&quot;2&quot;:0},&quot;15&quot;:&quot;Arial&quot;}\" data-sheets-formula=\"=CONCATENATE(R[0]C[-2],R[0]C[-3],R[0]C[-1])\"><\/span><\/p>\n<h2 id=\"does-blue-cross-blue-shield-cover-wegovy\"><span style=\"font-weight: 400;\">Does Blue Cross Blue Shield cover Wegovy?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Some Blue Cross Blue Shield (BCBS) plans cover Wegovy, but coverage depends on the plan. It may require <a href=\"https:\/\/www.singlecare.com\/blog\/wegovy-prior-authorization-criteria-blue-cross-blue-shield\/\">prior authorization<\/a> as well. To verify whether your BCBS plan will cover Wegovy, check with your insurance company or your employer (if you have employer-sponsored coverage). Wegovy\u2019s manufacturer, Novo Nordisk, provides a tool on its website that allows you to <\/span><a href=\"https:\/\/www.novocare.com\/obesity\/products\/wegovy\/check-coverage.html\"><span style=\"font-weight: 400;\">check your insurance coverage<\/span><\/a><span style=\"font-weight: 400;\"> as well.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWeight loss drugs are expensive and are covered by some insurance plans, but most people get insurance through their employers, so it\u2019s a question of whether employers opted in or out of weight loss benefits,\u201d says <\/span><a href=\"https:\/\/www.primeinstitute.us\/michelle-pearlman-md\/\"><span style=\"font-weight: 400;\">Michelle Pearlman, MD<\/span><\/a><span style=\"font-weight: 400;\">, CEO and co-founder of Prime Institute and ByteMD, who is board-certified in internal medicine, gastroenterology, and obesity medicine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even if a BCBS plan does offer coverage for Wegovy, patients have to meet specific criteria. Patients 12 years and older are approved for Wegovy if they either:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a body mass index (BMI) of 30 or above<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a BMI of 27 or greater and at least one weight-related health condition, such as heart disease, diabetes, high blood pressure, or sleep apnea<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In addition, patients must go through a comprehensive medical evaluation that includes lab tests and a full medical history.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Wegovy with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tWegovy 2.4 mg\/0.75 mL (4 Pens)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$1170.27<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/wegovy#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$1170.27<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/wegovy#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/wegovy#blog-cta\" class=\"coupon-see-all-btn\">See Wegovy prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"how-much-does-wegovy-cost\"><span style=\"font-weight: 400;\">How much does Wegovy cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Wegovy is one of the most expensive weight loss medications, with an average retail cost of $1,849 per package, which is usually four pens or a one-month supply. For people with insurance, the cost depends on the specific plan.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are, however, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/save-on-wegovy\/\"><span style=\"font-weight: 400;\">ways to save on Wegovy<\/span><\/a><span style=\"font-weight: 400;\"> if you do not have insurance:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\"> to save over $600 per month on <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy\"><span style=\"font-weight: 400;\">Wegovy<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use a Novo Nordisk <\/span><a href=\"https:\/\/www.novocare.com\/obesity\/products\/wegovy\/savings-offer.html\"><span style=\"font-weight: 400;\">manufacturer coupon<\/span><\/a><span style=\"font-weight: 400;\">. This can also reduce the copay if you have insurance.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our weight management newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Weight Management Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"how-to-check-whether-your-bcbs-plan-covers-wegovy\"><span style=\"font-weight: 400;\">How to check whether your BCBS plan covers Wegovy<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Even if you first use the Novo Nordisk website to check BCBS coverage of the cost of Wegovy, it is a good idea to contact your insurance company for verification since they\u2019re more familiar with the details of your specific plan. You can typically do this by calling the phone number on the back of your insurance card. If your prescription coverage is separate from your medical insurance, you\u2019ll want to call the number on the back of your prescription card.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once you find out if your BCBS plan covers Wegovy, here are some questions to ask:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do I need prior authorization?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have I met my deductible for the year?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Once I meet my deductible and out-of-pocket requirements for the year, how much will my copay be for Wegovy for the rest of that year?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Does my plan have an out-of-pocket limit or maximum? Once I reach that, how much will my copay be for Wegovy?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What can I do to get the best price? For example, will a 90-day supply be cheaper?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If I am turned down, what do I need to do to appeal it?<\/span><\/li>\n<\/ul>\n<h2 id=\"how-to-get-wegovy-covered-by-insurance\"><span style=\"font-weight: 400;\">How to get Wegovy covered by insurance<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If an employer-sponsored healthcare plan does not cover Wegovy, you can ask your healthcare provider to prove why you need it covered. Wegovy has a <\/span><a href=\"https:\/\/www.wegovy.com\/content\/dam\/obesity\/wegovy\/images\/pdf\/Wegovy_Patient_Coverage_Request_Sample_Letter.pdf\"><span style=\"font-weight: 400;\">sample letter<\/span><\/a><span style=\"font-weight: 400;\"> that healthcare providers can use as a template. You can then submit the letter to your insurance company to see if they\u2019ll consider covering the cost. If your insurance company still does not cover Wegovy, you can consider enrolling in a <\/span><a href=\"https:\/\/www.clinicaltrials.gov\/search?cond=obesity&amp;term=wegovy\"><span style=\"font-weight: 400;\">clinical trial<\/span><\/a><span style=\"font-weight: 400;\"> to get low-cost or free Wegovy if you qualify.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Keep in mind that there are other prescription weight loss medications, like <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/saxenda-vs-wegovy\/\"><span style=\"font-weight: 400;\">Saxenda<\/span><\/a><span style=\"font-weight: 400;\">, that your health insurance plan may cover if it doesn\u2019t cover Wegovy. Some medications, like <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/wegovy-vs-mounjaro\/\"><span style=\"font-weight: 400;\">Mounjaro<\/span><\/a><span style=\"font-weight: 400;\">, are approved for managing blood sugar levels in adults with Type 2 diabetes, but they are sometimes prescribed off-label for weight loss. Your healthcare provider can help determine which medication is most suitable for you if Wegovy isn\u2019t an affordable option.<\/span><\/p>\n<p><small>The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Oct. 23, 2025. Prices vary by pharmacy. Visit our <a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy\">Wegovy coupon page<\/a> for updated Wegovy prices near you.<\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Wegovy (semaglutide) is the first weight loss medication approved by the Food and Drug Administration since 2014. It is a weekly injection in a class of medications called glucagon-like peptide-1 (GLP-1) agonists that stimulate the production of insulin to reduce blood sugar and slow the digestion process. GLP-1 agonists are also believed to interact with [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":627515,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[21067,608,9825],"coauthors":[21008],"class_list":["post-627514","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-glp-1-drugs","tag-health-insurance","tag-weight-loss","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Is Wegovy covered by Blue Cross Blue Shield?<\/title>\n<meta name=\"description\" content=\"Blue Cross Blue Shield may cover Wegovy, but coverage varies by plan, and some plans don\u2019t cover weight loss medications.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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