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Centene

Does Centene cover Wegovy for Weight Loss?

No. Centene's policies on file exclude Wegovy for weight loss on ACA Marketplace plans.

Policy document

  • ACA Marketplace: Not covered. Use of Wegovy for the treatment of weight management is a benefit exclusion and will not be authorized.

Earliest policy review June 2, 2026. How we verify · Check your exact plan

Full requirements: Wegovy for Weight Loss (1 plan type)

Applies to ACA Marketplace plans.

Not covered

Use of Wegovy for the treatment of weight management is a benefit exclusion and will not be authorized.

Policy note: Explicitly stated as a benefit exclusion for both initial and continued therapy. This applies to the HIM/ICHRA and Medicaid lines of business covered by this policy. Note: Wegovy HD 7.2 mg formulation was added for weight management per the revision log (RT4, 03.24.26), but the policy text still states weight management is a benefit exclusion — this may reflect a pending update.

Policy effective June 1, 2024 · verified June 2, 2026 · source: Cp.Pmn.295 · View policy document (PDF)

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If weight loss isn't covered on your plan

A prior authorization can't override a benefit exclusion. Ask Centene about a formulary exception.

Questions people ask
Does Centene cover Wegovy?
No. Centene's policies on file exclude Wegovy for weight loss on ACA Marketplace plans.
How current is this information?
The oldest review date among the policies on this page is June 2, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Also under Centene: Mounjaro, Ozempic, Zepbound

Wegovy under other plans: Aetna, Cigna, Medicare GLP-1 Bridge (CMS), UnitedHealthcare, Alabama Medicaid, BCBS Alabama, BCBS Arizona, BCBS Arkansas

All insurance plans · All medications

Summary of Centene's written policy, not a guarantee of coverage. Plans vary by employer and benefit design.