Applies to Employer and ACA Marketplace plans.
Not coveredPolicy 00886, effective August 1, 2026, page 11: the weight-loss exclusion applies to members whose contract excludes medications for obesity, weight loss, weight management, or weight maintenance. The policy states that most member contracts exclude this benefit. Page 18 limits the policy approval criteria to cardiovascular risk reduction and MASH; no weight-loss approval checklist is established for contracts with weight-loss benefits.
Policy note: Codex source review on 2026-09-23 of the official August 1, 2026 policy, pages 1, 11, 18 and 21. Weight-loss scope only; the source does not establish BMI gates, approval durations, or documentation requirements for weight-loss benefits. A scheduled review date is not an expiration date. Cardiovascular and MASH entries on source document 220 are outside this publication.
Policy effective August 1, 2026 · verified September 23, 2026 · source: Bcbs Louisiana Wegovy 2026 08 01 · View policy document (PDF)