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 typically 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 typically 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).