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A BMI of 3540 with a significant weight-related condition, or is unable to achieve the weight loss required for surgery

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Current law blocks Medicare weight-loss drug coverage Policy changes expected mid-2026 Medicaid coverage remains state-dependent What This Means for You Coverage is stable: Wegovy's preferred status on Aetna expected to continue Focus on PA requirements: Meeting criteria is key to approval Cardiovascular benefit: Wegovy's heart health approval (March 2024) strengthens your case During open enrollment: Confirm no changes to your specific plan's requirements CALL YOUR INSURANCE Verify Your Specific Coverage Verify Your Specific Coverage Even though it takes a little more time, we recommend calling so you can speak with a person who may have more information than the online directory or PDF formulary listing

It also depends on the type of food you eat, the amount of physical activity you get each day, whether youre getting quality sleep and even stress and genetics