Does Oscar Insurance Cover Weight Loss Medication? A Comprehensive Guide
Coverage Overview Oscar Insurance provides coverage for weight loss medication under certain conditions. Coverage varies based on individual policies, state regulations, and whether medical necessity is established. Covered Medications Oscar Insurance covers FDA-approved weight loss medications, including: Phentermine-topiramate (Qsymia) Naltrexone-bupropion (Contrave) Eligibility Requirements To be eligible for coverage, individuals must meet specific criteria, such as: Body mass index (BMI) of 30 or higher with a comorbid condition like diabetes or high blood pressure BMI of 27 or higher with at least two weight-related concerns Demonstration of unsuccessful weight loss efforts through diet and exercise Medical Necessity Determination Oscar Insurance requires evidence of medical necessity to approve weight loss medication coverage....