This probably will be changes across the board with insurance companies concerning what the federal government has proposed to be effective in 2026 with the cuts to ACA.
I received a notification from my HR department that GLP – 1 medication’s will no longer be covered in 2026 for weight loss unless you are a type 2 diabetic.
The following are no exceptions: sleep apnea pre-diabetic hypothyroidism hormonal conditions ETC- any other conditions that make weight loss difficult.
My company is not cheap and is reasonable but the additional out of plan cost for this medication to be covered was an additional $3-4 million. I understand there are other factors that play, but the fact that this medication coverage alone has this much of a cost impact is surprising. Other medications will be increasing based on tiers but this was the highlight in coverage changes.
I’m afraid of what my health insurance is going to look like with the increases even without this option, even though it does personally affect me. I was finally making progress with my weight loss journey. After a year and a half without the medication seeing no results while working with a nutritionist and a personal trainer. I’ve lost a total of 35 pounds in eight months and the food noise has finally disappeared. 2026 won’t be easy, but I hope people know we are not alone and that change does need to happen.
The fat and happy saying exists but I don’t it will be applicable to the USA. We will just be fat cause I don’t understand how some people can be happy with this administration.
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