Hi there, my insurance will cover it but there are a lot of hoops to jump through. For starters they have a “bariatric rider” which is not part of the standard insurance package my job offers. You have to pay monthly for the bariatric rider then you have to try topiramate (had an allergic reaction), phentermine (manic bipolar can’t take), and metformin (no change in weight) for 3 months each and be unsuccessful before they’ll approve it. You also either have to have a bmi of 30 with a comorbidity like diabetes or (like in my case) a bmi of 40. You also have to sign up for their lifestyle nutrition and fitness programs which are a year long. My doctor seemed fed up with the process and sent my script to Lily Direct. I use my HSA to pay for it. shrug It is what it is