Aetna’s Coverage Guide- Exploring Weight Loss Medications on the Insurance Plan

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What Weight Loss Medication Does Aetna Cover?

Weight loss is a significant concern for many individuals, and finding the right medication can be a crucial step towards achieving their goals. Aetna, a leading health insurance provider, offers coverage for various weight loss medications. This article will explore the types of weight loss medications that Aetna covers and the criteria that must be met to qualify for coverage.

One of the most popular weight loss medications covered by Aetna is Phentermine. Phentermine is a prescription medication that helps suppress appetite and reduce food cravings. It is often prescribed for individuals who are overweight or obese and have a body mass index (BMI) of 30 or higher, or those with a BMI of 27 or higher with a related health condition, such as diabetes or high blood pressure.

Another weight loss medication covered by Aetna is Liraglutide. Liraglutide is a GLP-1 receptor agonist that helps regulate appetite and blood sugar levels. It is prescribed for individuals with a BMI of 30 or higher, or those with a BMI of 27 or higher with a related health condition. Liraglutide is typically administered as a once-weekly injection and has been shown to be effective in promoting weight loss when combined with lifestyle changes.

Belviq is another weight loss medication covered by Aetna. Belviq works by increasing the feeling of fullness and reducing appetite. It is prescribed for individuals with a BMI of 30 or higher, or those with a BMI of 27 or higher with a related health condition. Belviq is taken once a day and has been shown to be effective in promoting weight loss when combined with a healthy diet and exercise.

Qsymia is another medication covered by Aetna that helps with weight loss. Qsymia is a combination of two medications: phentermine and topiramate. It is prescribed for individuals with a BMI of 30 or higher, or those with a BMI of 27 or higher with a related health condition. Qsymia is taken twice a day and has been shown to be effective in promoting weight loss when combined with lifestyle changes.

It is important to note that Aetna coverage for weight loss medications is subject to certain criteria. Individuals must have a documented history of obesity or a related health condition, and they must have attempted other weight loss methods, such as diet and exercise, without success. Additionally, coverage may be subject to prior authorization and may vary based on the specific plan and policy.

In conclusion, Aetna covers various weight loss medications, including Phentermine, Liraglutide, Belviq, and Qsymia. Individuals seeking coverage for these medications must meet specific criteria and may require prior authorization. If you are considering weight loss medication and have Aetna insurance, it is essential to consult with your healthcare provider to determine the best options for you.

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