"How to Get Ozempic Covered by Insurance: The Ultimate Guide You Can’t Afford to Miss!"
How to Get Ozempic Covered by Insurance (or Save Big with Plum Health Direct Primary Care)
Maximize Your Benefits and Save on Life-Changing Medications!
Managing diabetes—especially as you get older—can be challenging physically, emotionally, and financially. If you’re living with Type 2 diabetes, you’ve probably heard of Ozempic (semaglutide), a groundbreaking medication that not only helps regulate blood sugar but also supports weight loss. Unfortunately, its cost often makes it inaccessible to those who need it most.
But here’s the good news: at Plum Health Direct Primary Care, we make Ozempic more affordable than ever, offering it for as low as $355 at the time of writing. Interested in learning more? Read on to see how you can navigate insurance or skip the headache entirely by joining Plum Health.Understanding Ozempic and Its Benefits
What Is Ozempic, and Why Is It So Popular?
Ozempic injection pen.
Before diving into the nitty-gritty of cost, let's briefly talk about what Ozempic is and why it's become such a popular choice for managing Type 2 diabetes.
Ozempic is a once-weekly injectable medication that helps lower blood sugar levels by mimicking a hormone called GLP-1, which helps your body release insulin when your blood sugar is high. But that's not all—Ozempic has also been shown to help with weight loss, which is a significant benefit for many people managing diabetes.
Ozempic is classified as a glucagon-like peptide-1 (GLP-1) agonist, a type of medication that imitates the actions of a gut hormone known as GLP-1. Ozempic works by reducing blood glucose levels following meals and reducing glucose production in the liver. It also slows the movement of food out of the stomach.
GLP-1 is believed to directly impact the area of the brain that regulates appetite. So, by acting like GLP-1, Ozempic can also affect appetite and make you feel full. This can reduce calorie intake, resulting in weight loss.
Navigating Insurance Coverage for Ozempic
Common Challenges in Getting Ozempic Covered by Insurance
One of the biggest hurdles with Ozempic is getting it covered by your insurance. Depending on your insurance plan, you might run into issues like formulary exclusions (where your plan doesn't cover Ozempic at all) or high copayments that make it difficult to afford. It’s frustrating, especially when you know that this medication could make a significant difference in your health. But don’t worry—there are steps you can take to improve your chances of getting coverage.
Is Ozempic (Semaglutide) Covered By Insurance? Everything You Need to Know About Costs and Coverage
Patient is inquiring about healthcare.
Why Plum Health Direct Primary Care Is Your Best Option for Affordable Ozempic
At Plum Health Direct Primary Care, we provide an innovative solution to the high cost of medications like Ozempic. Through our membership model, we source medications at wholesale prices, allowing you to access Ozempic for as low as $355 at the time of writing—far below the typical retail price. By joining Plum Health, you bypass the hassle of insurance red tape, lengthy prior authorization processes, and unpredictable copays. Instead, you receive affordable, straightforward pricing and personalized care from a dedicated physician who prioritizes your health and well-being. With Plum Health, managing your diabetes becomes easier, more affordable, and less stressful.
Explore Manufacturer Assistance Programs
If you’re struggling to get Ozempic covered or if your copayments are still too high, consider looking into assistance programs offered by Novo Nordisk, the manufacturer of Ozempic. These programs can significantly reduce your out-of-pocket costs, especially if you meet certain income criteria.
For example, I had a patient who was able to get her Ozempic at a fraction of the cost through Novo Nordisk’s assistance program after her insurance only partially covered the medication. The application process was straightforward, and it made a world of difference for her.
How to save on Ozempic
There are ways to save on Ozempic, which is only available as a brand-name medication. GoodRx can help you navigate between copay savings cards and patient assistance programs to save money on your prescription.
Save with a copay savings card. If you have commercial insurance, you may be eligible to pay as little as $25 for Ozempic using a savings card from the manufacturer.
Save with patient assistance programs. If you’re uninsured or underinsured, you may be eligible for Ozempic’s patient assistance program, which offers the medication free of cost.
How to Join Plum Health DPC
Sign Up: Visit our website to learn more about membership options for individuals and families.
Speak with your Plum Health Provider: As soon as you join, we’ll help discuss if Ozempic is right for you.
Experience Better Care: Say goodbye to rushed doctor visits and overpriced prescriptions.
