Insurance pre-check
Enter your insurance carrier, the medication you're considering, and a few clinical details. We'll estimate the likelihood of prior authorization approval and link you to the full carrier coverage page.
Insurance pre-check
Quick heuristic estimate. Not a guarantee — final approval is at your insurer's discretion based on your specific plan and prior-auth review.
Approval is plan-dependent. Some plans within this carrier cover; others don't. Verify with your specific plan's formulary or call the number on your insurance card before assuming.
Aetna covers Wegovy on most commercial plans when the patient meets clinical criteria and prior authorization is approved. The obesity-drug benefit must be included in the specific employer plan.
Read full Aetna Wegovy coverage →How this works
The estimate combines published carrier coverage patterns with the clinical criteria you enter (BMI, comorbidity, lifestyle history). It's a heuristic, not a guarantee. Actual approval depends on your specific plan and prior-auth review. Plans within the same carrier vary widely based on what the employer or plan sponsor included.
What to do with the result
- Likely: Ask your prescriber to submit the prior authorization. Approval is usually 1-4 weeks.
- Possible: Confirm coverage with your specific plan before assuming. The carrier coverage page lists what to ask.
- Unlikely: Request a medical necessity letter from your prescriber emphasizing comorbidities, prior weight-management attempts, and clinical urgency. Run manufacturer self-pay programs in parallel as a fallback.
- Blocked: Federal law excludes this combination (e.g., Medicare + Wegovy for weight loss). Appeals will fail. Manufacturer self-pay or commercial supplemental coverage are the practical alternatives.