If your employer plan excludes weight management, here's how to advocate for coverage.
About this article
Reviewed byDr. J. Bottoni, M.D.
RoleEditor-in-Chief, Medicine
First publishedMay 20, 2026
Last reviewedMay 20, 2026
Page typeIn-depth editorial guide
Sources15+ cited sources
Build the business case
- Obesity-related healthcare costs are substantial for employers.
- CV risk reduction (SELECT) translates to lower healthcare claims.
- Productivity benefits from weight loss are well-documented.
- Talent attraction/retention — competitive employers are adding GLP-1 coverage.
Tactics
- Talk to HR/benefits during open enrollment window.
- Provide employer with white papers from major employer-benefits firms.
- Cite SELECT (CV outcome reduction) as the strongest case.
- Suggest plan-design options: PA-based coverage, BMI thresholds, lifestyle prerequisite.
Realistic timeline
Plan changes typically take a year. File the request before next open enrollment.