Prescription Weight Loss Medication Insurance Program

Your Pathway to Affordable Weight Loss Medications**

GET STARTED
Weight Loss

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.
  • Coverage 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.
  • Success Rate: While we do not provide a guarantee of coverage, we boast a high success rate of approximately 75%.

Membership Pricing

Program 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.
Comprehensive Care Options

Membership Benefits

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.

How It Works Image

How it Works

Booking IconPrescription Submission

Your medical provider will submit your prescription to our partnered pharmacy, Across Specialty Pharmacy.

Booking IconInsurance Review

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.

Booking IconGet Your Medication

Once the insurance review is complete and your prescription is processed, we ensure your medication is promptly delivered to your doorstep. This streamlined approach is designed to provide you with a hassle-free experience, allowing you to focus on your health without worrying about medication availability or insurance paperwork.

Explore our comprehensive care options tailored to your medication needs:

Your medical provider will submit your prescription to our partnered pharmacy, Across Specialty Pharmacy.

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.

The entire process typically takes between 2-3 weeks, often sooner.

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.

FAQ

Do you accept FSA and HSA payments?

Yes, we gladly accept payments from both Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).

How is the medication shipped?

Medications are shipped from our partner pharmacy, Across Specialty Pharmacy, directly to you at no additional charge.

Can I pick up my prescription at a local pharmacy?

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.

Do I need prior authorization for medication refills?

No, you do not need prior authorization for refills once your initial prescription has been approved.

What happens if my medication is on back order?

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.

Can I increase my medication dosage?

Yes, dosage adjustments can be made after discussing your progress and health with your provider.

Is it possible to switch medications?

Yes, you can discuss switching medications with your provider to find the most effective option for your needs.

What are the membership benefits of the Insurance Program?

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.

How long does the process take from start to receiving medication?

The entire process typically takes 2-3 weeks, often shorter, ensuring you can start your weight loss journey as soon as possible.