Weight-loss drug coverage rises among employers, survey finds
A survey conducted by the consulting firm Mercer reveals a remarkable increase in the availability of weight-loss drug coverage among U.S. employers. In 2024, approximately 44% of employers with 500 or more employees now offer these benefits, compared with 41% in 2023. This trend is even more pronounced among larger employers, with 64% of companies with over 20,000 employees including coverage for weight-loss drugs in their health care plans.
What medications are covered?
Coverage extends to advanced medications like GLP-1 receptor agonists — known for their impressive weight-loss results. These include:
Wegovy (Novo Nordisk): Clinically proven to reduce body weight by up to 15–20%.
Zepbound (Eli Lilly): A new player with similar efficacy to Wegovy.
Saxenda (Novo Nordisk): An earlier generation option with modest weight-loss outcomes.
These drugs work by mimicking gut hormones that regulate appetite and glucose levels, creating a powerful tool for sustainable weight loss when combined with lifestyle changes.
Why coverage matters for you
Weight-loss medications represent a significant investment in your health. Unfortunately, the high cost of these therapies has been a barrier for many. The rise in coverage means more patients can now access these treatments without bearing the full financial burden. However, it’s essential to understand the nuances of your health plan, including:
Authorization requirements: Some plans may necessitate pre-approval to confirm the appropriateness of the medication.
Cost-sharing: Be aware of potential co-pays or deductibles tied to these benefits.
The role of employers in supporting health
Employers are increasingly adopting innovative strategies to reduce costs while improving health outcomes. Mercer reports that many employers are adding authorization measures and partnering with pharmacy benefit managers to ensure these medications are used effectively. Large organizations also offer a variety of health plan options, giving employees more flexibility in their care choices.
Your next steps
If you're unsure about your coverage or want to explore whether weight-loss medication is suitable for you, we encourage you to schedule a consultation. Together, we’ll review your options and design a tailored plan to achieve your health goals.
FAQs
What should I do if my employer doesn't offer coverage for weight-loss medications?
Consider speaking with your HR department about adding these benefits. Additionally, explore patient assistance programs offered by pharmaceutical companies.
Are these medications safe for everyone?
While generally safe, GLP-1 medications may not be suitable for individuals with certain conditions. A medical evaluation is essential.
How long will I need to take these medications?
The duration varies based on your goals and health profile. Long-term use may be necessary to sustain results.
Can I achieve similar results without medication?
Many individuals experience significant weight loss through lifestyle changes alone. Medications can enhance these efforts for those who need additional support.
What side effects should I expect?
Common side effects include nausea and gastrointestinal discomfort, which usually subside over time.
Are these medications covered under Medicare or Medicaid?
Currently, coverage for weight-loss drugs under Medicare and Medicaid is limited. Stay informed about policy changes.
If you’re interested in a weight-loss program and want to schedule a free, 10-minute consultation or an appointment with our obesity medicine board-certified doctor, book one below.
