Is Zepbound Covered by Insurance

Zepbound coverage varies significantly by insurance plan, with most major insurers providing limited coverage. Medicare Part D covers Zepbound for diabetes but not weight loss, while Medicaid coverage depends on individual state policies. Commercial insurers like Blue Cross Blue Shield, Aetna, and Cigna typically require prior authorization and may limit coverage to patients with BMI ≥30 or ≥27 with comorbidities. Out-of-pocket costs can reach $1,000+ monthly without coverage. The Zepbound Savings Card offers up to $150 off monthly costs for eligible patients. Contact your insurance provider directly to verify your specific coverage terms and requirements.