UnitedHealthcare coverage for Wegovy (Weight Loss)
Employer / Commercial Insurance
Depends on your plan's benefit
This is an optional program for clients/businesses that have elected to cover weight loss products. Not available on plans without weight loss medication coverage (those plans use a separate Nonformulary Wegovy criteria policy).
No additional clinical requirements are listed beyond the diagnosis.
Policy note: Weight loss is explicitly excluded as a benefit under this program. This policy document only establishes criteria for cardiovascular risk reduction and MASH indications.
Policy effective May 1, 2026 · verified June 2, 2026 · source: PA-Notification-Weight-Loss.pdf
ACA Marketplace
Depends on your plan's benefit
This is an optional program for clients/businesses that have elected to cover weight loss products. Not available on plans without weight loss medication coverage (those plans use a separate Nonformulary Wegovy criteria policy).
No additional clinical requirements are listed beyond the diagnosis.
Policy note: Weight loss is explicitly excluded as a benefit under this program. This policy document only establishes criteria for cardiovascular risk reduction and MASH indications.
Policy effective May 1, 2026 · verified June 2, 2026 · source: PA-Notification-Weight-Loss.pdf
