Insurance won't pay anymore :(

Hong Kong Yanpep International
Only got approved once diabetes entered the picture for me. Could be that. Or maybe they've decided your weight doesn't meet whatever threshold they require.
 
She would've preferred a different approach, but insurance wouldn't cover it that way. So I ended up bumping the dose every month until I hit the max. Did fix my A1C, though I suspect I'd have lost more weight if it went the way my doctor originally intended.
 
Appreciate the response! Was actually looking into that route, but unfortunately my insurance won't cover it when it's coded for weight loss, and paying out of pocket monthly gets expensive fast when I've still got over 100 pounds to go.
 
Because the second your BMI drops enough, they're off the hook for paying, and you'll lose fastest on the higher dose anyway. Figuring out the titrate-down and maintenance plan is on you though. Insurance is only looking out for their own interest.
 
Lost count of how many times I got told losing 15% of my body weight would fix it, only to hit that goal and have the target quietly shift another 15%. Dropped 100 pounds, landed squarely in the healthy range for both weight and body composition, guess what though, still diabetic. Kept it all off, and this same doctor wanted another 10% loss... from where exactly?! Reached my limit and switched providers two years back. New doctor tried different oral medications plus alternate insulin brands. Made those swaps but still didn't move the needle enough, so mounjaro finally got prescribed. Starting it next week actually. Insurance approved full coverage this past Friday, expecting it to arrive any day.

The generic 'just lose weight' advice never got me anywhere. Some doctors treat it as their only answer. Feels like their go-to script.
 
My coverage got pulled (I've got type 1 diabetes). Filed an appeal and the insurer denied it. Took it to the state next (Pennsylvania) and actually won. An AI assistant helped me put together all the paperwork, made the whole thing surprisingly manageable. Submitted my pump data showing my A1c dropped from 8.5 down to 6.2 while on this medication. Won at the state level and it's back to being covered now.
 
Stopped once insurance quit covering it. Put some weight back on, I do exercise daily but wasn't great about walking through the winter! Didn't want to just quit the medication outright either, terrible insurance situation. So they re-approved coverage after a ten pound gain, but only for the daily liraglutide injections. That's done nothing for me. Walking more now on top of still exercising, hitting my protein and fiber goals, and still finding myself wanting more food on top of it. Cravings and food noise are back in full force and my willpower around emotional eating just isn't strong enough. My doctor just resubmitted the pre-approval paperwork for Wegovy since I've gained a few more pounds again, and also brought up Zepbound as an option. She just wasn't confident insurance would cover that one without trying Wegovy first, assuming they'd even cover Wegovy. Can't afford either one without insurance backing it.
 
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