Does UHC AARP Medicare Advantage Essentials (UHC) Ohio cover Wegovy?
UHC AARP Medicare Advantage Essentials (UHC) Ohio excludes Wegovy from coverage— an exception may be available with clinical justification.
This plan explicitly excludes this medication from coverage. An exception may be available.
Verbatim status from policy: Excluded
Last verified 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
Sources
- Real Appeal weight management program
UnitedHealthcare (UHC) · Effective 2026-05-04 · v2026 version (per copyright)
- Prior Authorization/Notification - Plans with Weight Loss/Appetite Suppression Medication Coverage (Total Weight Support)
UnitedHealthcare (UHC) · Effective 2026-02-01 · v2025 P 1114-19
- Prior Authorization/Notification - Plans with Weight Loss/Appetite Suppression Medication Coverage
UnitedHealthcare (UHC) · Effective 2026-05-01 · v2026 P 1114-20
- UnitedHealthcare Pharmacy Clinical Pharmacy Programs: Zepbound® (tirzepatide) – Obstructive Sleep Apnea Only
UnitedHealthcare (UHC) · Effective 2026-03-01 · v2025 P 1475-2
- Bariatric Surgery (Medical Policy); Medications/Drugs (Outpatient/Part B) (Medicare Advantage Medical Policy)
UnitedHealthcare (UHC) · Effective 2026-05-01 (Bariatric Surgery); 2026-04-01 (Medications/Drugs) · vPolicy Number: 2026T0362RR (Bariatric Surgery); Policy Number: 2026T0614C (Medications)
What to do next
Even when a plan says no, an exception or appeal is often possible — especially when there's a strong clinical case. Your prescriber can request a coverage determination.
Keep exploring
Other medications on this plan