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

Started by Nate_n · · 24 replies · 167 views
#1

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?

#2

Down 76 over the past year and a half, and my experience matches what everyone's saying - my insurer approved me instantly while a neighbor on a totally different carrier here got denied twice before appealing. The map has mattered way less than the plan for everyone I've talked to.

#3

Similar boat here, about 16 down and my employer plan hasn't given me any trouble either. I've seen friends in other states get denied twice before winning an appeal, so count yourself lucky. Wonder how much of it just comes down to the insurer rather than the state itself.

#4

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.

#5

Only 6 down myself so far but zero insurance drama in my state, which honestly tracks with what others are saying about it being plan-specific. My work plan approved right away while a coworker on a different carrier here got stonewalled twice. Definitely feels like the policy matters more than the map.

#6

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.

#7

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 Calling the pharmacy itself worked better than the automated price checkers online, which kept showing outdated numbers for me.Georgia here and the warehouse club pharmacy beat every chain I priced, sometimes by half, so I only fill there now. Worth checking if your state has one since the online price tools kept showing me outdated numbers.

#8

Kentucky here on Zepbound and coverage came down to my employer's plan, not the state - approved first try while a coworker across town got stonewalled. Only down 7 lbs so far so still early days, but glad the refill part hasn't been the battle I braced for.

#9

Down 10 lbs myself and my experience matches Kentucky's - it was all about my employer's plan here in Ohio, not anything state-level. Approved without a fight while my sister's insurer in the same metro rejected her twice. Worth asking coworkers what theirs covers before assuming your state tells you anything.

#10

Ohio checking in and it's the same employer-plan roulette here - mine covers it but a coworker on a different tier at the same company pays cash. Down 35 lbs so the fight to keep that coverage feels worth it every renewal season.Ohio here and same deal - my plan covers it but a coworker at the same company on a different tier pays cash. Down 35 lbs so I hold my breath every open enrollment season now.

#11

Georgia here and it tracks with what everyone's saying - my employer plan covered it no questions asked but my neighbor's plan in the same zip code won't touch it. Down about 17 myself and the refill process has been painless so far. Feels like the state matters way less than who signs your paycheck.

#12

Texas here and it's been the same employer-plan lottery, not anything statewide - mine covered it from day one while a friend across Dallas is paying cash despite identical incomes. Almost 40 lbs gone now so I'm clearly not complaining, but the patchwork is wild.

#13

California here and it's the same story - my own plan wouldn't cover it at all so I've been paying out of pocket for compounded, and honestly at 2 lbs down it's still been worth it. Weirdly my roommate's Kaiser plan covers the brand name with zero fuss, same city, same income bracket. It really does seem to come down to the specific plan more than the state.

#14

Texas here and it's employer roulette too - my plan covers it but my sister's small-business plan told her flat out no. Down 8 lbs and dreading open enrollment in case they change the rules on me.

#15

Illinois here and it's been painless so far, which after reading these threads feels like winning the lottery. Congrats on the 17 lbs, that's a big deal. I'm only a couple pounds in myself but even the peace of mind on the coverage side makes the whole thing easier to stick with.

#16

Georgia here and it's been smooth through two renewals so far, though I've stopped assuming that lasts. 53 lbs down and honestly the fear of losing coverage is the only cloud over the whole thing. Worth every ounce of paperwork anxiety.

#17

Michigan here and it's been smooth too, but I get the paranoia - I screenshot my approval letters every renewal like they might vanish. Down about 9 lbs myself and honestly the coverage stress is almost worse than the appetite side. Fingers crossed open enrollment is kind to everyone in this thread.

#18

Texas here and it took two appeals before my plan signed off, so the fight is real in some states. Down 21 lbs now and I keep digital copies of every approval in case they change their minds. Hope open enrollment goes easy on everyone here.

#19

Ohio here, no issues so far but I save every approval email to a folder just in case. Down 24 lbs and the only thing stressing me is wondering if next year's plan will still cover it. Watching this thread for other state experiences.

#20

Georgia here and it was a fight for me too - one denial first, then approved after my doctor sent in extra documentation. Down 16 lbs and now I'm dreading January like everyone else. Keeping my fingers crossed my employer doesn't switch plans at renewal.

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