News

Starting with 2026 Large Group renewals, Health Net will implement a change to its standard pharmacy benefit for weight loss drugs. Coverage will be available to members with Class III severe obesity, defined as a body mass index (BMI) of 40 or higher.1 For clients who would like broader access, Health Net will offer a pharmacy rider. The rider provides expanded weight loss medication coverage beyond the standard benefit for members with a BMI of 30 or higher.

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