Can I confirm that medications and labs are covered by my commercial/employer insurance plan before I join?
We’ll work with your commercial/employer insurance to get your labs and medication covered. Medication should be capped at $25 or less per month after any deductible is met.
If you’d like to confirm that your commercial/employer insurance plan covers the medications and labs that Calibrate doctors prescribe/order before joining Calibrate, you can reach out directly to your insurer and ask the following questions:
Does my plan cover GLP-1 (glucagon-like peptide) medications?
- If not, is step therapy an option?
Does my plan cover the following lab tests? Is there a copay?
- Hemoglobin A1c
- Lipid panel
- Comprehensive metabolic panel
- Fasting insulin test
- High sensitivity C-reactive protein
- Thyroid-stimulating hormone
If the medications are covered, the GLP-1 medication copay should be capped at $25 or less per month after any deductible is met. Keep in mind that the medication coverage can require information from your lab results to get insurance approval.
If you have a high-deductible health plan, you'll need to pay through the deductible before your medications are covered by your plan. Since the GLP-1 medications that Calibrate doctors currently prescribe are brand-name medications, high-deductible plans will not cover them before you reach your deductible (which may differ from their coverage of other—typically generic—medications).
While rare, if you're in any way unsatisfied with your insurance plan’s coverage of your medications, we can end your program and issue a refund before you fill your first month’s medication. See our refund policy for full details.