Weight loss medications can be an effective tool for individuals struggling to achieve a healthier weight when traditional methods like diet and exercise alone haven’t been enough. However, these medications are not for everyone. Understanding who qualifies for prescription weight loss medications is important for setting expectations and determining whether it’s the right option for you.
Basic Eligibility for Weight Loss Medications
At Richmond Aesthetic Surgery, we offer two of the most popular FDA-approved weight loss medications: Zepbound™ and Wegovy®. These medications have been shown to support significant weight loss when combined with a structured treatment plan.
Typically, candidates for weight loss medications are adults with a body mass index (BMI) of 30 or higher, which falls into the obese category. Individuals with a BMI of 27 or higher who also have weight-related health conditions — such as type 2 diabetes, high blood pressure, or sleep apnea — may also qualify. In addition to meeting BMI and health criteria, candidates should be committed to making long-term lifestyle changes that include healthy eating, physical activity, and behavior modification. Weight loss medications are designed to be part of a comprehensive weight management plan rather than a stand-alone solution.
Certain groups of people, such as those who are pregnant, planning to become pregnant, or breastfeeding, are generally not eligible for weight loss medications. Additionally, individuals with specific health conditions, such as uncontrolled thyroid disorders or certain types of heart disease, may not be suitable candidates. A thorough evaluation by a qualified healthcare provider is essential to determine eligibility.
Insurance and Employer Coverage for Weight Loss Medications
While the availability of weight loss medications has expanded in recent years, insurance coverage can vary widely. Some private insurance plans and employer-sponsored health benefits include coverage for FDA-approved weight loss medications like Zepbound™ and Wegovy®, but not all do. It often depends on the insurer’s policies and the specific plan selected by your employer.
More employers are beginning to recognize the benefits of supporting employees’ weight management efforts, particularly as it can lead to improved overall health and reduced healthcare costs. As a result, an increasing number of companies are offering health plans that cover medically supervised weight loss programs, including prescription medications.
If you’re interested in finding out whether your insurance or employer benefits cover weight loss medications, visit our employee coverage list for more information.
Is Weight Loss Medication Right for You?
If you’re struggling to lose weight and wondering whether prescription weight loss medications might be appropriate, the first step is consulting with a healthcare provider who can evaluate your individual health needs.
Our weight loss clinic offers comprehensive care, including personalized treatment plans with Zepbound™ and Wegovy®, as well as post-weight loss body contouring procedures to help you achieve your goals. By understanding the eligibility requirements and exploring coverage options, you can make an informed decision about the best path forward for your health and well-being.
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