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GLP-1 Insurance Eligibility Check

GLP-1 Insurance Eligibility Check

$25.00
$25.00
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Pay $25 for our team to check if your insurance may cover GLP-1 weight loss medications (Wegovy, Zepbound, Mounjaro, Ozempic). This is not a medication purchase.

What you’re buying (read this before you pay)

This $25 service fee pays for our team to:

  1. Review the information you submit

  2. Contact or check your insurance plan

  3. Tell you if your plan shows any possible coverage for GLP-1 weight loss medication

You are not paying for medication.
You are paying for an insurance benefits check.

How it works – step by step

Step 1 – Submit your info
After checkout, you’ll be redirected to a secure form. You’ll enter your insurance details, basic health information, and contact info.

Step 2 – We check your benefits
Our team reviews your information and checks with your insurance plan for GLP-1 coverage. Typical timeline: 1–3 business days.

Step 3 – You get your results + next steps
We send you a clear breakdown of what we found and exactly what you can do next.

The 3 possible outcomes 

After we run your eligibility check, one of these three things will happen:

1. Denied / Non-Formulary (No GLP-1 Coverage)

Your plan shows no coverage for GLP-1 weight loss medications (or lists them as excluded/non-formulary).

  • You will not be able to use insurance for GLP-1s through your current plan.

  • You can still continue with us using our self-pay options (compounded GLP-1s and other weight loss options, priced separately).

  • The $25 eligibility fee is not refunded, because the work has been completed.

2. Approved With Prior Authorization Required

Your plan shows possible coverage, but they require a prior authorization (extra paperwork and review).

If our provider reviews your medical history and decides a GLP-1 is appropriate for you:

  • You’ll schedule a clinical consultation.

  • You will pay $50 for:

    • Your consultation

    • Prescription, if appropriate

    • Prior authorization submission to your insurance

Medication cost and final insurance decision are separate and depend on your plan.

3. Approved (Coverage Shown, No Prior Auth Listed)

Your plan shows possible coverage, and no prior authorization requirement is visible at the benefits-check level.

If our provider reviews your medical history and decides a GLP-1 is appropriate for you:

  • You’ll schedule a clinical consultation

  • You will pay $50 for:

    • Your consultation

    • Prescription, if appropriate

    • Any insurance follow-up needed

Again, medication cost and final insurance decision are separate and depend on your plan.

Important notes & disclaimers

  • The $25 eligibility check fee is non-refundable once we begin your insurance review.

  • This service does not guarantee that your insurance will ultimately pay for medication. Final coverage decisions are made by your insurance plan when the prescription is processed.

  • The $50 consultation fee, if you choose to move forward after an “approved” or “approved with PA” result, is also for professional services only (visit, prescription decision, prior auth work).

  • Medication costs, copays, deductibles, and pharmacy charges are not included in these fees.

Who this is for?

  • You’re considering GLP-1 medications for weight management.

  • You want to know up front whether your insurance plan shows any possible coverage.

  • You’re okay paying $25 to get a clear answer and then decide whether to:

    • Move forward with an insured path (if available), or

    • Choose a self-pay option if your plan doesn’t cover it.
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