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Centene

Does Centene cover Zepbound for Weight Loss?

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

Policy document

  • ACA Marketplace: Not covered. Use of Zepbound 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: Zepbound for Weight Loss (1 plan type)

Applies to ACA Marketplace plans.

Not covered

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

Policy note: The policy explicitly states that use of Zepbound for weight management is a benefit exclusion and will not be authorized, for both initial approval and continued therapy. This applies to HIM/ICHRA and Medicaid lines of business.

Policy effective December 20, 2024 · verified June 2, 2026 · source: Cp.Pmn.298 · 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 Zepbound?
No. Centene's policies on file exclude Zepbound 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, Wegovy

Zepbound 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.