Does Cigna cover Wegovy?
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Cigna publishes BMI-tiered versions of its Wegovy criteria, and your plan determines which applies. Each requires at least 3 months of behavior change and diet before starting, gives an 8-month first approval, and requires at least 5% weight loss for renewal.
What Cigna specifically requires
- Age 18 or older
- At least 3 months of behavioral modification and dietary restriction before starting
- BMI floor set by your plan's policy: 32, or 27 with at least two weight-related conditions (IP0621); or 35 (IP0739)
- IP0621 plans: enrolled with Cigna's lifestyle vendor, with 4 weigh-ins and 4 app engagements per month
- First approval: 8 months
- Renewal: at least 5% loss from baseline; renewed for 1 year
Sources: Cigna coverage policy IP0621 (Weight Loss GLP-1, BMI ≥ 32) (Apr 30, 2026); Cigna coverage policy IP0739 (Weight Loss GLP-1, BMI ≥ 35) (Apr 30, 2026); Cigna coverage policy IP0206 (revision history) (Sep 1, 2026)
About Cigna coverage
- Cigna publishes separate GLP-1 weight-loss policies by BMI floor: IP0621 (BMI 32, or 27 with two weight-related conditions) and IP0739 (BMI 35). Which one applies depends on your plan. Cigna coverage policy IP0621 (Weight Loss GLP-1, BMI ≥ 32), Apr 30, 2026
- IP0621 plans also require enrollment with Cigna's lifestyle vendor, with 4 weigh-ins and 4 app engagements per month. Cigna coverage policy IP0621 (Weight Loss GLP-1, BMI ≥ 32), Apr 30, 2026
- Cigna states that the BMI thresholds in IP0621 are not based on clinical data and are set to let a subset of patients obtain these drugs. Cigna coverage policy IP0621 (Weight Loss GLP-1, BMI ≥ 32), Apr 30, 2026
- Brand Saxenda requires a trial of generic liraglutide first under IP0621. Cigna coverage policy IP0621 (Weight Loss GLP-1, BMI ≥ 32), Apr 30, 2026
- For Zepbound used for sleep apnea, renewal after 1 year requires at least 10% weight loss and stable symptoms (IP0621). Cigna coverage policy IP0621 (Weight Loss GLP-1, BMI ≥ 32), Apr 30, 2026
Where to get Wegovy
Telehealth services that handle Wegovy, useful while prior auth processes or as a cash-pay alternative. We may earn a commission. See disclosure.
Ro
from $149/mo- Best for insured patients
- Best for clinical oversight
Ro Body, branded GLP-1 weight care program
Hims
from $149/mo- Best for cash-pay
- Best for speed
Hims Weight Loss, branded GLP-1 on a monthly membership
Cigna not the right plan?
Coverage varies between carriers and even between plans at the same carrier. Compare GLP-1 coverage across 20 US insurers and programs, or run the insurance pre-check to estimate your specific plan's odds.
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Frequently asked
Does Cigna cover Wegovy?+
Cigna publishes BMI-tiered versions of its Wegovy criteria, and your plan determines which applies. Each requires at least 3 months of behavior change and diet before starting, gives an 8-month first approval, and requires at least 5% weight loss for renewal.
Does Cigna require prior authorization for Wegovy?+
Yes. Cigna requires prior authorization for Wegovy. Your prescriber submits the request with the documentation listed in the Cigna criteria on this page.