[US] US coverage check-in for today - by state?

Down 17 lbs and feeling grateful my plan has covered my shots so far, but I know that varies wildly depending on where you live. Curious how folks across different states are faring with insurance right now. Anyone in a state where coverage has been a fight or surprisingly easy?

My plan approved it first try too, and honestly the pharmacy counter has been the bigger headache than the insurer.

I'm in Texas and mine went through without a peep, which honestly surprised me given all the horror stories I read before starting.

Down 31 myself and my insurer approved it first try too, but my sister in a neighboring state got denied until her doctor sent in extra documentation. Makes me think the reply above has a point about it being more the specific plan than the state lines.

I'm only a few pounds in but mine went through without a peep, and honestly I think it's the plan not the state. My coworker two towns over is on a different carrier and had to appeal twice.

Texas too (San Antonio), and same as the others here, one prior auth and it's been smooth since. Down 62 lbs myself. Wild that my own state feels like two different countries depending on your plan.

Georgia here and cash price at the big warehouse club beat every chain I checked, so now I only fill there. Calling the pharmacy itself worked better than the automated price checkers online, which kept showing outdated numbers for me.Georgia here and the warehouse club pharmacy beat every chain I priced, sometimes by half, so I only fill there now. Worth checking if your state has one since the online price tools kept showing me outdated numbers.

Lexington here and honestly coverage has been the easy part, it's finding a pharmacy that keeps 5mg in stock that's been my fight.

Kentucky here too and mine was the opposite, denied first try even though my plan lists it. Did your coworker ever get it sorted or just pay out of pocket?

Anyone in a state where it actually went smooth start to finish? Feels like every reply here ends with same zip code different plan.

So it really is employer plan over state lines? I figured there'd be some state-level rule making it easier somewhere, but three replies in and nobody's mentioned one

My employer plan in Texas covered it without a fight, but a friend two zip codes over got denied twice on the same medication. Feels like the plan matters way more than the map.

California here and mine flips your theory a bit, my coverage got denied and it came down to my employer picking a plan that excludes it. Curious if the folks getting easy approvals all work somewhere big enough to self-insure.

Same employer-plan lottery here in Texas, and I'm only 8 lbs in so I haven't hit a renewal yet. Does your plan give you any warning before dropping coverage, or did you just find out at the pharmacy?

I'm only a couple pounds in myself so I don't have much to lose yet, but the plan-not-state thing matches what I see. My neighbor two doors down got approved on a plan I'd never even heard of.

Which state are you in? Asking because I'm in one of the easy ones and I keep wondering if that's luck or just my plan.

Which state are you in? I'm curious whether it's one of the easy ones or a fight, since my own plan changed the rules mid-year and I'm still down about 9 lbs thanks to the cash price.

ohio here and mine went from approved to under review with no notice, so I'm bracing for the renewal letter. Did yours ever flip mid-year like that?

Ohio here too, and that appeal story matches mine almost exactly. Denied once, approved on the second try with the same paperwork, which still makes no sense to me.

Georgia here, and mine flipped the other way - approved first try, then the pharmacy said the plan wouldn't cover it at the counter. Took two calls to sort out.