Does Fidelis cover weight loss medication?
Weight loss is a common desire for many folks, but sometimes it can be tough to achieve on your own. Fortunately, there are drugs available that can aid in weight loss efforts. Fidelis Care is a health insurance firm that provides coverage for a variety of medical services, including prescription drugs. If you’re wondering if Fidelis covers weight-reduction medicine, the answer is yes.
Types of Weight Loss Medication:
Fidelis Care supports numerous types of weight loss medication, including:
- Phentermine: This drug is an appetite suppressant that might help you feel full with smaller servings of food. It’s commonly advised for short-term use in combination with diet and exercise.
- Orlistat: This drug works by inhibiting the absorption of fat in the digestive system. It’s commonly advised for long-term use in tandem with a low-calorie diet.
- Lorcaserin: This medicine works by enhancing feelings of fullness and suppressing hunger. It’s commonly advised for long-term use in tandem with a reduced-calorie diet and increased physical exercise.
- Naltrexone and bupropion: This medication is a combination of two pharmaceuticals that work together to suppress appetite and promote a sense of fullness. It’s commonly advised for long-term use in tandem with a reduced-calorie diet and increased physical exercise.
It’s important to note that not all weight reduction medications may be covered by Fidelis Care, and coverage may vary depending on your specific plan. It’s advisable to verify with your healthcare provider or insurance company to see if a specific drug is covered under your plan.
In addition to prescription coverage, Fidelis Care also offers information and help for weight loss attempts. This provides access to licenced nutritionists, health coaches, and weight management programmes.
Eligibility Criteria:
To be eligible for Fidelis coverage for weight reduction medicine, you must meet particular criteria, which include:
- You must have a body mass index (BMI) of 30 or higher, or a BMI of 27 or higher with one or more weight-related health problems, such as diabetes, hypertension, or high cholesterol.
- You must have undergone a comprehensive weight management programme, which includes nutrition and exercise counselling, and not achieved significant weight loss.
- You must have gotten a prescription for weight loss medication from a Fidelis Care practitioner.
Process of Obtaining Coverage:
To obtain coverage for weight reduction medicine, you need to complete these steps:
- Make an appointment with a Fidelis Care specialist who can prescribe weight-loss medicine.
- During the visit, discuss your eligibility for weight reduction medication and acquire a prescription if you qualify.
- Fill your medication at a Fidelis Care network pharmacy.
- Make your co-payment, which varies depending on your Fidelis Care plan.
Conclusion
In conclusion, Fidelis Care does cover weight loss medication that has been approved by the FDA. They provide coverage for a selection of drugs that act in different ways to aid in weight loss efforts. It’s crucial to verify with your individual plan to see which prescriptions are covered and to chat with your healthcare practitioner about what may be the best option for you.
FAQ’s
Does Fidelis cover Wegovy?
Yes, Fidelis does cover Wegovy, but coverage may vary based on the exact plan.
Does Fidelis cover Saxenda?
Yes, Fidelis does cover Saxenda, but coverage may differ depending on the exact plan.
Does Fidelis cover Ozempic?
Yes, Fidelis does cover Ozempic, but coverage may differ depending on the exact plan.
Does Fidelis cover weight-loss surgery?
Yes, Fidelis does cover weight loss surgery, although coverage may vary based on the exact plan.
Fidelis prescription coverage?
Yes, Fidelis provides prescription coverage, but coverage may vary based on the exact plan.
Does Fidelis cover Mounjaro?
Yes, Fidelis does cover Mounjaro, but coverage may vary based on the exact plan.
Does Fidelis cover Viagra?
Yes, Fidelis does cover Viagra, but coverage may vary based on the exact plan.
How do I get a Fidelis OTC card?
To receive a Fidelis OTC card, you should contact Fidelis Member Services or check your plan documentation to see if it is included in your plan.
Reference:
- “Weight-loss medications: Can they help you?” by Mayo Clinic Link: https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/weight-loss-medications/art-20044832
- “Weight Loss Medications” by the Obesity Medicine Association Link: https://obesitymedicine.org/weight-loss-medications/
- “Fidelis Care Formulary” by Fidelis Care Link: https://www.fideliscare.org/-/media/fideliscare/member-tools/pharmacy/FCNY_2021-Formulary.ashx
- “Weight Management” by Fidelis Care Link: https://www.fideliscare.org/Members/Manage-Your-Health/Weight-Management
