If you’re one of those people who has tried almost every diet under the sun in an effort to lose weight, you may have thought about taking weight loss medications. It’s critical to understand whether your health insurance company covers these expensive prescriptions. Thus, if you’re a Fidelis Care member and unsure if they cover prescription drugs for weight loss, keep reading.
What is Fidelis Care?
First, let’s talk about what Fidelis Care is. Health plans for individuals, families, and corporations are available from Fidelis Care, a health insurance company established in New York. They offer protection for medical expenses, prescription drugs, and services for routine care.
Does Fidelis Care Cover Weight Loss Medications?
Let’s now address the essential query. Do Fidelis Care’s weight-loss prescription drugs qualify? It depends, is the answer? Each of the health plans offered by Fidelis Care offers a variety of alternatives for coverage. Weight loss drugs may be covered by some insurance plans but not by others.
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Fidelis Care Health Plans that Cover Weight Loss Medications
If you’re a Fidelis Care member, and you’re looking for a plan that covers weight loss medications, then you may want to consider the following plans:
- Fidelis Care Bronze Plan
- Fidelis Care Silver Plan
- Fidelis Care Gold Plan
These plans may cover weight loss medications, but it’s important to check the plan’s drug formulary to see which medications are covered.
Fidelis Care Health Plans That Do Not Cover Weight Loss Medications
On the other hand, if you’re a Fidelis Care member, and you’re looking for a plan that doesn’t cover weight loss medications, then you may want to avoid the following plans:
- Fidelis Care Catastrophic Plan
- Fidelis Care Essential Plan
- Fidelis Care Medicaid Plan
These plans typically do not cover weight loss medications, but again, it’s important to check the plan’s drug formulary to see which medications are covered.
How to Check if Your Fidelis Care Plan Covers Weight Loss Medications?
You can check your plan’s pharmacy formulary to see if weight loss drugs are covered by your Fidelis Care plan. A list of drugs that are covered by your insurance is found in the drug formulary. Usually, Fidelis Care’s website or customer support line can provide you with this information.
What Weight Loss Medications Does Fidelis Care Cover?
If your Fidelis Care plan covers weight loss medications, then you may be wondering which medications are covered. Fidelis Care covers a range of weight loss medications, including:
- Orlistat (Xenical)
- Phentermine (Adipex-P, Ionamin)
- Phentermine/topiramate (Qsymia)
- Lorcaserin (Belviq)
- Naltrexone/bupropion (Contrave)
Are There Any Requirements to Get Weight Loss Medications Covered by Fidelis Care?
If your Fidelis Care plan covers weight loss medications, then there may be certain requirements you need to meet to get them covered. Some of these requirements may include:
- A BMI (body mass index) of 30 or higher
- A BMI of 27 or higher with an obesity-related condition (such as high blood pressure or diabetes)
- A doctor’s prescription for the medication
- Prior authorization from Fidelis Care
How Much Will You Have to Pay for Weight Loss Medications?
Even if your Fidelis Care plan includes prescription weight reduction drugs, you might still have to pay some out-of-pocket expenses. The cost of your weight reduction medicine is determined by your individual plan, deductible, and copay. To find out how much you’ll have to pay for weight loss pills, it’s vital to review the drug formulary for your insurance plan.
Fidelis Care’s Prescription Drug Formulary
A list of medications that are covered by Fidelis Care’s health insurance may be found in their prescription medicine formulary. Every year, the drug formulary is amended, so it’s crucial to check it to be sure your prescriptions are still covered.
How to Find a Fidelis Care Provider
You can use their online provider directory to find a Fidelis Care practitioner who can write a prescription for weight reduction medicine. Choose a provider who can match your needs by using the location, specialty, and language search options.
Are Weight Loss Medications Effective?
Some people may find success with weight loss medicines, but they are not a panacea. In conjunction with a balanced diet and regular exercise, they function optimally. Before beginning any weight reduction drug, it’s crucial to discuss safety and suitability with your doctor.
Other Weight Loss Options
If weight loss medications aren’t covered by your Fidelis Care plan or aren’t the right option for you, there are other weight loss options available. These include:
- Working with a registered dietitian or nutritionist to create a healthy eating plan
- Incorporating regular exercise into your daily routine
- Joining a weight loss support group
- Seeking counseling or therapy to address any underlying emotional or psychological factors contributing to weight gain
In conclusion, your unique plan will determine whether Fidelis Care covers prescription weight-loss drugs. The best course of action for you should be decided after consulting your doctor and the medicine formulary of your insurance plan. Keep in mind that there are numerous more efficient and healthy ways to lose weight in addition to using weight reduction medicines.