ACHIEVE LASTING WEIGHT LOSS WITH CALIBRATE

Calibrate is available to actively employed Workmates and their dependents for whom the following apply:

• At least 18 years of age
• Have Cigna or SimplePay medical coverage through Workday
• Not enrolled in Medicare as primary medical coverage
• Full Calibrate Program: BMI greater than 30. Intensive Lifestyle Intervention (ILI) Program: BMI between 25 and 29.9.
• Not pregnant, breastfeeding, or planning to become pregnant in the next two years
• Who do not have an active substance abuse problem, an active eating disorder (e.g., anorexia, bulimia, or binge eating), cancer, recent bariatric surgery (within the past 18 months), active gallbladder disease, a history of pancreatitis in the past six months, or a history of medullary thyroid cancer (MEN syndrome). 
• Who live in the United States

GLP-1 medication is a key component of Calibrate’s Two-Year Metabolic Reset. Our doctors prescribe a variety of GLP-1s, including semaglutide, liraglutide, and dulaglutide. These GLP-1s are often referred to by their brand name, so you may have heard of these FDA-approved medications as Wegovy™, Ozempic®, or Saxenda®, to name a few.

GLP-1s mimic the effect of GLP-1 hormones naturally produced in the gut. These hormones send signals that affect metabolic function by regulating appetite and digestion to feel full faster and for longer, increasing your energy expenditure and maximizing nutrient absorption. These medications also work to regulate the body’s set point––the weight our bodies fight to maintain––and influence blood sugar response and insulin.

If you are enrolled in the Cigna Smart Plan with HSA (HDHP), your medication will be covered at 20% coinsurance, up to the $4,500 individual or $9,000 family in-network out-of-pocket maximum. You do not need to satisfy your deductible for coinsurance to apply. Your monthly payments will be approximately $25 - $150 until you reach your in-network out-of-pocket maximum. Once you reach your in-network out-of-pocket maximum, the medication will be covered in full. 

If you are enrolled in the Cigna Core Plan, your monthly payments will be $25 - $60 until your reach your $3,000 individual or $6,000 family in-network out-of-pocket maximum. Once you reach your in-network out-of-pocket maximum, the medication will be covered in full.

If you are enrolled in the SimplePay Health Plan, your monthly payments will be $15 - $30 until you reach your $2,000 individual or $4,000 family in-network out-of-pocket maximum. Once you reach your in-network out-of-pocket maximum, the medication will be covered in full. For questions about your SimplePay Health Plan, please contact your SimplePay Health Valet at healthvalet@simplepayhealth.com or 800-606-3564.

Your employer's sponsorship covers the cost of the program, but does not cover the cost of labs or medication coinsurance and copays, which will be billed based on your Cigna or SimplePay medical plan.

If you are enrolled in the Cigna Smart Plan with HSA (HDHP), your medication will be covered at 20% coinsurance, up to the $4,500 individual or $9,000 family in-network out-of-pocket maximum. You do not need to satisfy your deductible for coinsurance to apply. Your monthly payments will be between $25 - $150 until you reach your out-of-pocket maximum. Once you reach your in-network out-of-pocket maximum, the medication will be covered in full. 

If you are enrolled in the Cigna Core Plan, your monthly payments will be between $25 - $60 up to the $3,000 individual or $6,000 family in-network out-of-pocket maximum. Once you reach your in-network out-of-pocket maximum, the medication will be covered in full.

If you are enrolled in the SimplePay Health Plan, your monthly payments will be $15 - $30 until you reach your $2,000 individual or $4,000 family in-network out-of-pocket maximum. Once you reach your in-network out-of-pocket maximum, the medication will be covered in full. For questions about your SimplePay Health Plan, please contact your SimplePay Health Valet at healthvalet@simplepayhealth.com or 800-606-3564.

GLP-1 medications such as Ozempic, Wegovy, and Mounjaro have been periodically in shortage nationwide since 2021, making it difficult for patients to have consistent access to these medications, or to access them for the first time. We understand it can be concerning to have trouble filling a prescription from your doctor.

Calibrate is fundamentally different from prescription-only services. Medication is just one aspect of our program, and at Calibrate, we use medication as a tool—not the entire treatment. The Calibrate program is built to help your body do the same kind of work that medications like Wegovy and Saxenda do, so the best thing you can do if you’re affected by a shortage is to lean into the program. 

If you can’t access your GLP-1 medication because of a shortage, Calibrate will work with you 1:1 to determine appropriate next steps. To ensure continuity of care, this may include changing to a dose that is currently in stock, finding an alternative GLP-1 medication that is covered by your insurance, or tapering off altogether (if clinically indicated). 

For more information on medication shortages—as well as helpful tips for anyone experiencing a gap in medication because of a shortage—check out our landing page here.