Discovering that your GLP-1 medications are no longer covered by insurance can be stressful. However, there are several strategies and alternatives you can explore to continue your weight loss journey successfully without medications like Ozempic, Wegovy, Rybelsus, Mounjaro, Semaglutide, Saxenda, Victoza, Trulicity, Zepbound, and more. This blog post will guide you through strategies such as continued lifestyle changes, natural GLP-1 nutrition strategies, telehealth/telemedicine prescription options, compounding, and the appeals process with insurance.
Article by: Whittany Gibson, RDN
Whittany is the Co-Founder of Alterra Health and a seasoned Registered Dietitian specializing in bariatric and medical weight loss. With over ten years of expertise in the weight loss industry, she designs comprehensive nutrition, mindset, exercise, and coaching programs to support patients on their journey to better health.
1) Continue with lifestyle changes.
Even without GLP-1 medications, maintaining a healthy lifestyle is crucial. Here are some tips:
Diet: Focus on a balanced diet rich in lean proteins, whole grains, vegetables, and healthy fats. Avoid sugary and processed foods. Incorporate high-fiber foods to help control hunger and stabilize blood sugar levels.
Exercise: Regular physical activity is essential. Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking, cycling, or swimming. Strength training exercises should also be included to preserve and build muscle as well as to boost metabolism.
Mindset: Developing a positive mindset and healthy habits can significantly impact your weight loss journey. Practice stress management techniques like meditation, yoga, or deep breathing exercises.
2) Natural GLP-1 supplements & strategies.
There are natural ways to boost GLP-1 levels and support weight loss:
Dietary fiber: Foods high in soluble fiber, like oats, beans, and fruits, can help increase GLP-1 production.
Probiotics: Certain probiotics may help improve gut health and enhance GLP-1 secretion. Foods like yogurt, kefir, and fermented vegetables are good sources.
Protein: High-protein meals can stimulate GLP-1 release. Include lean meats, fish, eggs, and plant-based proteins in your diet. Be mindful of cooking methods and avoid fried versions.
Regular meals: Eating small, frequent meals can help maintain steady GLP-1 levels and prevent overeating.
3) Telehealth & online prescriptions.
Telehealth and telemedicine services offer an accessible and convenient way to consult with healthcare providers about your weight loss journey. Many telehealth platforms provide online prescriptions for GLP-1 medications at potentially discounted prices. Some popular telehealth services include:
PlushCare
Teladoc
Push Health
It’s important to ensure you have adequate clinical and behavioral support with getting a prescription online. Following a program that includes support in nutrition, exercise, and behavior change is optimal for your long-term success.
4) Compounding pharmacies.
Compounding pharmacies can provide customized medications that are not commercially available. They might offer GLP-1 medications at different dosages or combinations. However, it’s important to note that compounded medications must be prepared following FDA guidelines to ensure safety and efficacy. According to FDA statistics, compounded drugs are a small fraction of the overall medication supply, but they are a valuable option when standard medications are not suitable or available.
5) Appeals process with insurance.
If your insurance denies coverage for GLP-1 medications, you can go through an appeals process:
Review your policy: Understand the specific reasons for denial and the terms of your policy.
Gather documentation: Collect all necessary medical records, doctor’s notes, and other documentation supporting the need for GLP-1 medications.
Write an appeal letter: Clearly state why the medication is necessary for your health and quality of life. Include all supporting documents.
Submit your appeal: Follow your insurance company’s process for submitting an appeal. This may include mailing documents or submitting them online.
Follow up: Keep track of your appeal’s status and follow up if you don’t hear back within the expected timeframe.
Losing insurance coverage for GLP-1 medications can be challenging, but you have several options to explore. Continue with healthy lifestyle changes, consider natural supplements and strategies, utilize telehealth services for online prescriptions, look into compounding pharmacies, and don’t hesitate to appeal your insurance company’s decision. By taking these steps, you can continue your weight loss journey and achieve your health goals.
Lifestyle changes are crucial to achieving long-term success on a weight loss journey with or without the assistance of GLP-1 medications like Ozempic, Wegovy, Mounjaro, Zepbound, and more. If you need help with the four lifestyle pillars — nutrition, exercise, mindset, and community — be sure to check out Alterra Health’s free GLP-1 patient education hub and our free Facebook Support Group. You can also download our GLP-1 meal plan developed by a Registered Dietitian on our website here.
Alterra Health and its parent company Puente Holdings, LLC provide education, coaching, guides, support, and programs for patients. Individual results may vary. This article should not be construed as medical advice. For all clinical questions, please consult your medical provider.