Does Security Health Plan Cover Wegovy?

Security Health Plan covers Wegovy for weight loss only on employer plans where the anti-obesity benefit was purchased. Drug-level Wegovy detail is not publicly published — verify on the drug-lookup tool at securityhealthplan.com or by calling member services. ACA/individual plans generally exclude weight-loss GLP-1s. Being part of the Marshfield Clinic integrated system does not automatically include anti-obesity drug coverage; that is determined by your specific employer's benefit design.

Both Security Health Plan and Network Health are Wisconsin regional plans with not-publicly-published Wegovy detail gating weight-loss coverage on employer opt-in. The distinguishing feature is delivery model: Security Health Plan is affiliated with Marshfield Clinic, an integrated health system, while Network Health is an independent commercial insurer with a notable Medicare Advantage book. For commercial weight-loss seekers, the coverage logic is the same — employer benefit design decides — but Security Health Plan members with complex chronic conditions may benefit from Marshfield's integrated prescribing relationship when navigating the PA process.

Where the anti-obesity benefit is included, Security Health Plan requires PA with BMI 30 or higher (or 27 with a weight-related comorbidity such as hypertension, T2D, dyslipidemia, or sleep apnea), documented lifestyle program participation, and demonstrated weight-loss progress for renewal. Specific Security Health Plan PA criteria are not publicly published — confirm current requirements with member services or your prescriber before submitting.

No. Medicare Part D cannot cover Wegovy for weight loss by statute — this is a federal rule applying to all plans including Security Health Plan Medicare plans. Security Health Plan Medicare plans can cover Wegovy for the cardiovascular risk-reduction indication in members with established CVD. The Medicare GLP-1 Bridge (launching July 1, 2026) provides weight-loss access at $50/month outside Part D for eligible beneficiaries — verify Bridge eligibility criteria with your prescriber.

Being cared for at Marshfield Clinic can streamline the prior authorization process because your prescriber has integrated access to your health records, making it easier to document BMI, comorbidities, and lifestyle program participation. However, the coverage decision itself — whether your employer plan includes the anti-obesity benefit — is entirely independent of the Marshfield delivery system. An integrated prescriber cannot override a benefit design exclusion. What the integrated system helps with is the paperwork once you confirm the benefit exists.