Weight Loss Medications
Semaglutide, tirzepatide, and oral medications — prior authorization, plan exclusions, and self-pay options.
Medication coverageCheck Your Insurance Coverage
Coverage rules are different for weight loss medications than they are for surgery. Choose the option you are curious about — there is no obligation either way.
Bariatric Surgery
Anthem BCBS, Aetna, Cigna, UnitedHealthcare, Medicare, and Medicaid — BMI criteria and pre-authorization steps.
Surgery coverageInsurance Coverage FAQs
- Does insurance cover weight loss medications like Ozempic or Zepbound in Virginia?
- Some Virginia plans cover GLP-1 medications such as semaglutide and tirzepatide for obesity, but many exclude weight loss drugs or require prior authorization with documented BMI and prior diet attempts. Our office checks your pharmacy benefit and, if the drug is excluded, reviews self-pay and compounded options.
- Does insurance cover bariatric surgery in Virginia?
- Most major Virginia plans, including Anthem BCBS, Aetna, Cigna, UnitedHealthcare, and Medicare, cover sleeve gastrectomy and gastric bypass when you meet BMI criteria and complete the required evaluations. Individual employer contracts can exclude bariatric surgery entirely, so we verify benefits before you begin.
- How do I find out what my plan covers?
- Call our office or request a benefits check online. We contact your insurer directly, confirm whether medication or surgery benefits exist, and explain the exact requirements your plan applies before you commit to anything.
- What if my plan does not cover weight loss treatment?
- Self-pay pricing is available for both medical weight loss and bariatric surgery, and monthly-payment financing through Prosper Healthcare Lending can spread the cost over time.