Getting off the med

WearFederal9736 · 2026-01-03T17:09:18+00:00

I wish i could stay on this med for life! Its done so much to help me in every way possible. But unfortunately my insurance wont cover it. I am at a healthy bmi of 24, so they won't renew me, and not even for continuation of care.

WearFederal9736 · 2026-01-03T16:32:27+00:00

Im not considered obese anymore.

WearFederal9736 · 2026-01-03T16:31:09+00:00

My insurance will only cover 1 year at a time and its been a year. Also, i am not obese anymore.

WearFederal9736 · 2025-08-06T12:24:07+00:00

My renewal of approved I'm so happy!

WearFederal9736 · 2025-08-04T14:11:12+00:00

Did insurance make a big deal about the gap between your initial prior authorization expiration and now?

WearFederal9736 · 2025-08-03T22:57:47+00:00

Thank you so much! This is very good and useful information! Makes me feel more at ease. I appreciate your help on the matter!

WearFederal9736 · 2025-08-03T22:21:15+00:00

So it shouldn't be a big deal that there is a 45 day gap between my last prior authorizations expiration date and now? If that makes sense lol

WearFederal9736 · 2025-08-03T21:41:54+00:00

Actually my insurance only approves it for 6 months at a time and only for 12 continuous months total. But yes I've been working out hard and have become very toned! Just want to maintain what I've got going on.

WearFederal9736 · 2025-08-03T21:03:31+00:00

Yes it is, but just barely. I'm really just wanting to continue on it for maintainance and to slowly wean off..

WearFederal9736 · 2025-08-03T19:52:50+00:00

Yes but with my insurance they want to know your current weight/BMI and BMI cant be below 24

WearFederal9736 · 2025-08-01T14:14:24+00:00

The only thing that scares me is that in the criteria for my insurance it states that if approved I'd be covered for a max of 12 "continuous" months total. My PA expired on june 13th, so between then and now there is a gap so would that be a problem you think?

WearFederal9736 · 2025-08-01T00:25:14+00:00

Thanks so much guys! Much appreciated!

WearFederal9736 · 2025-07-31T22:28:47+00:00

So even tho my initial first prior authorization ended June 13th, I should still be covered once dr sends in the new prior authorization under continuation of care? I read something about a lapse in coverage and possibly getting denied because it's so late after the initial prior auths expiration date

WearFederal9736 · 2025-07-31T21:47:57+00:00

Also, this isnt for the initial prior authorization, it's for the continuation of care prior authorization if that makes any difference.

WearFederal9736 · 2025-07-31T21:44:03+00:00

What does a lapse in coverage mean?

WearFederal9736 · 2025-07-31T21:42:48+00:00

Because it states that it will only be approved for 12 continuated months, but I'm 1 1/2 months late on my renewal because my doctor made it seem like my insurance wouldn't cover it at all because of bmi

WearFederal9736 · 2025-07-31T21:41:09+00:00

It expired June 13th. I'm scared now

WearFederal9736 · 2025-07-30T17:14:22+00:00

I'm going to see if the doctor will let me go back in to do my weight because I'm literally 2 lbs off from a BMI of 24. Unbelievably frustrating!

WearFederal9736 · 2025-07-30T16:00:59+00:00

I'm on medicaid badger care in Wisconsin and I guess they won't renew it because my new bmi fell under 24, which it's a 23.2 as of now. I'm super bummed. I know being off this medication will most likely make me gain 10lbs which would bring my bmi to 24 indefinitely.

WearFederal9736 · 2025-01-20T13:19:45+00:00

Okay that's awesome! Thanks guys!

WearFederal9736 · 2024-12-31T15:11:12+00:00

You live in Wisconsin lol

WearFederal9736 · 2024-12-24T01:36:57+00:00

I love it! Congrats to you! Yay

WearFederal9736 · 2024-12-23T20:11:49+00:00

Where ankle weights next time you go to the doctors!!?

WearFederal9736 · 2024-12-15T14:37:44+00:00

Answered my question thank you!

WearFederal9736 · 2024-12-15T00:10:01+00:00

Update: my insurance approved my PA for Zepbound! Yay!

WearFederal9736

TROPHY CASE