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.
At Calibrate we have a team of insurance navigation experts to help you access an initial GLP-1 medication prescription for $25/month or less (after any deductible is met). We’ve helped tens of thousands of members access affordable GLP-1s. However, in the unlikely scenario that there is no path to a low-cost GLP-1 for you, you will be eligible for a refund (less a $250 fee for the initial doctor’s appointment). You will be eligible for this refund after 90 days from your doctor’s appointment – the full period of time it may take our team to explore all GLP-1 options for you (though the vast majority of members will get access sooner). See more details in our Refund Policy here.
The majority of commercial insurance plans cover GLP-1 medications after any deductible is met, but each plan's coverage can be unique. At Calibrate we have a team of insurance navigation experts to help you access an initial GLP-1 medication prescription for $25/month or less (after any deductible is met). We’ve helped tens of thousands of members access affordable GLP-1s. However, in the unlikely scenario that there is no path to a low-cost GLP-1 for you, you will be eligible for a refund (less a $250 fee for the initial doctor’s appointment). See more details in our refund policy here.
Regardless of your medication access status, we are so confident you’ll succeed on Calibrate that all members are eligible for 10% weight loss on Calibrate or their money back. Read more about our Results Money Back Promise here.
HDHPs will require you to pay through your deductible prior to getting your medication covered at $25/mo. If you have a high deductible that you were not already planning to pay through, you should expect to pay through your entire deductible on Calibrate before the $25/mo kicks in.
Unfortunately, we're not set up to accept members who have any form of federal or government insurance, regardless of whether they are willing to pay out of pocket or whether they have additional commercial insurance. This is due to regulatory restrictions in place around the patient populations that Calibrate doctors are able to treat.