Let me explain with my current situation. I am 22 F and I currently weigh 305lbs.

I am obese. Morbidly obese.

Even though I have been trying for 5 years at this point to lose the weight on my own. Eat healthier, eat more fruits and veggies, cut out excess sugar, walk more, exercise more, the whole kit and caboodle.

But I still am not losing the weight. I am still very fat. And I am worried that it will cause very serious health problems.

So I talked with my doctor and she told me “We need to get you on a weight loss medication. Let’s try Ozempic”.

But my insurance told us that they don’t think I need the Ozempic so they won’t pay for it.

So we tried Wegovy and Mounjaro. But my insurance still rejected our requests.

They’re saying because I am young, and I am a diabetic with good numbers, I dont need the weight loss meds and I can just lose the weight naturally.

But ive been trying to and it hasn’t been working. So that’s why my doctor prescribed me the weight loss med.

Why is this allowed? Why is it that your insurance can deny you a medication, even if your doctor says you need it?

  • actionjbone@sh.itjust.works
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    2 months ago

    It’s quite simple:

    They are money-grubbing assholes in an unregulated industry. Their goal is to make as much money as possible while hurting as many people as possible. Because if they hurt people, they can take their money and provide no service.

    It’s legal because the government won’t make it illegal.

  • Rhynoplaz@lemmy.world
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    2 months ago

    My wife was prescribed one of those for her diabetes, and the insurance company STILL wouldn’t cover a dime. She was able to find a coupon for a three month supply for $350.

    • KuromiGirl04@lemmy.worldOP
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      2 months ago

      And see, that’s what my problem was

      Yes, I am technically a type-2 diabetic, but i am a diabetic with good numbers, so my insurance is saying "oh we wont pay for those meds. You don’t need it."🙄😒

  • gilokee@lemmy.world
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    2 months ago

    This sucks, and I’m sorry, but you missed one crucial thing.

    Eat healthier, eat more fruits and veggies, cut out excess sugar, walk more, exercise more

    Have you tried eating less? Fruits and veggies give you good nutrition, working out builds muscle, but the only thing you can do to actually lose weight is to eat less.

      • Pommes_für_dein_Balg@feddit.org
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        2 months ago

        LMAO @ “You missed one crucial thing: Have you tried eating less?”
        What a ridiculous question.

        Stay strong and I hope you can get the medication you need.

          • Pommes_für_dein_Balg@feddit.org
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            2 months ago

            Assuming that someone who’s been trying to lose weight for 5 years never considered eating less is laughable and condescending.

            It’s like telling someone with a severe substance addiction “You missed one crucial thing: Have you tried not doing drugs?”

  • stephen@lazysoci.al
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    2 months ago

    Monied interests have crafted a legal system that benefits them, not you.

    I hate that this is happening to you.

    Darknet Markets are booming with semaglutides because of capitalism’s greed.