Skip to content

Cigna

Does Cigna cover Wegovy for Heart Disease Risk Reduction?

Yes. Cigna covers Wegovy for heart disease risk reduction with prior authorization if your BMI is 27 or higher. Other policy requirements and your plan's benefits also apply.

Policy document

  • Employer and ACA Marketplace: Covered with requirements. See the qualification pathways below.

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

Full requirements: Wegovy for Heart Disease Risk Reduction (2 plan types)

Applies to Employer and ACA Marketplace plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

CV Risk Reduction - Established CVD with Overweight or Obesity

All of:

  • Patient is ≥ 18 years of age
  • Baseline BMI ≥ 27 kg/m2 (prior to any GLP-1 or GLP-1/GIP agonist)
  • According to prescriber, medication will be used in combination with optimized pharmacotherapy for established cardiovascular disease
  • Medication will be used concomitantly with behavioral modification and a reduced-calorie diet

Plus any one of:

  • Prior myocardial infarction
  • Prior stroke (not including TIA)
  • History of symptomatic peripheral arterial disease with intermittent claudication and ankle-brachial index < 0.85
  • History of symptomatic peripheral arterial disease with peripheral arterial revascularization procedure
  • History of symptomatic peripheral arterial disease with amputation due to atherosclerotic disease

Documentation to bring

  • Baseline BMI documentation (≥ 27 kg/m2, prior to any GLP-1 or GLP-1/GIP agonist)
  • Documentation of qualifying established CV event (prior MI, prior stroke [not TIA], or symptomatic PAD with ABI < 0.85, peripheral arterial revascularization, or amputation due to atherosclerotic disease)
  • Prescriber attestation that medication will be used in combination with optimized pharmacotherapy for established cardiovascular disease

Approval and renewal

  • Initial approval: 12 months
  • Renewal: every 12 months
  • Renewal: Initial and continuation criteria are combined into a single 1-year approval; no separate weight loss response threshold is required for renewal. Baseline BMI ≥ 27 kg/m2, established CV disease, and GDMT use are the ongoing requirements. Diabetes exclusion does NOT apply — patients with or without diabetes may qualify.

Not covered when

  • Transient ischemic attack (TIA) does not qualify as prior stroke
  • Concomitant use with other GLP-1 agonists or GLP-1/GIP agonists is not covered

Policy note: Both Wegovy injection (including Wegovy HD injection) and Wegovy tablet are approved for this indication with identical criteria. Approval is for 1 year. Policy does not exclude patients with diabetes for this indication (unlike the SELECT trial population which excluded diabetes). No separate weight loss response threshold is required for renewal.

Policy effective April 15, 2026 · verified June 2, 2026 · source: Cigna — GLP-1 coverage criteria (Policy 684) · View policy document (PDF)

Open on its own page →

Questions people ask
Does Cigna cover Wegovy?
Yes. Cigna covers Wegovy for heart disease risk reduction with prior authorization if your BMI is 27 or higher. Other policy requirements and your plan's benefits also apply.
How long does a Wegovy approval last with Cigna?
Heart Disease Risk Reduction — Applies to Employer and ACA Marketplace plans. Initial approval: 12 months. Renewal: every 12 months.
What does Cigna require to renew Wegovy?
Heart Disease Risk Reduction — Applies to Employer and ACA Marketplace plans. Initial and continuation criteria are combined into a single 1-year approval; no separate weight loss response threshold is required for renewal. Baseline BMI ≥ 27 kg/m2, established CV disease, and GDMT use are the ongoing requirements. Diabetes exclusion does NOT apply — patients with or without diabetes may qualify.
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 Cigna: Mounjaro, Ozempic, Zepbound

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

All insurance plans · All medications

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