Does Humana Gold Plus HMO cover Wegovy?
Humana Gold Plus HMO covers Wegovywith prior authorization required.
This plan covers this medication, but requires prior authorization before it will pay.
Verbatim status from policy: Covered with PA
Last verified 2026-04-01.
Requirements
- Prior authorization
- Required
- Step therapy
- Not required
- Formulary tier
- Tier 5 (Specialty)
Sources
- Wegovy (semaglutide) Pharmacy Coverage Policy
Humana · Effective 2024-03-28 · vRevision Date: January 28, 2026; Review Date: January 21, 2026
- Does Medicare cover medical nutrition therapy (MNT)?
Humana · Effective 2025-11-18 · vY0040_GHHMLD5EN_C
- Wegovy (semaglutide) Pharmacy Coverage Policy; Bariatric Surgery Medical Coverage Policy (HUM-0423-033)
Humana · Effective 2026-01-28 (Wegovy Revised); 2024-08-29 (Bariatric Surgery) · vWegovy (Rev 01-2026); Bariatric (Rev 08-2024)
- Bariatric Surgery
Humana · Effective 2026-02-02 · vHUM-1020-004
- Prior Authorization Criteria: ZEPBOUND (TIRZEPATIDE)
Humana Healthy Horizons in Kentucky / MedImpact · Effective 2025-07-01 · vEffective 7.1.2025
What to do next
Your prescriber will need to submit a prior authorization request to your plan. Our guides walk through what they typically need to include.
Keep exploring
Other medications on this plan
Other Humana plans