We understand that managing weight can be a journey, and we're committed to supporting you. This article is to inform you about an upcoming change to your weight loss GLP-1 medication coverage (medications like Saxenda, Wegovy, and Zepbound).
Starting January 1, 2025, to receive coverage for these medications, your health plan will require you to apply to Omada, a virtual health program designed to help you achieve lasting weight health. Omada helps members taking or considering GLP-1s for weight loss with holistic lifestyle, nutrition, and exercise support. Omada is 100% free to you as it is covered by Methodist Le Bonheur.
Here's why Omada can be a valuable resource:
- Amplified Weight Loss: Studies show that Omada members on a GLP-1 medications who actively participate in the program experience significantly greater weight loss compared to those with limited engagement.
- Personal Care Team Support: Omada members enjoy a personal relationship with their health coach, who supports them with nutrition, exercise, behavioral health and medication side effects.
- Tailored Learning Curriculum: Members receive basic education on GLP-1s, how they work, and potential side effects, plus the opportunity to join a peer support community moderated by a cardiometabolic specialist.
What You Need to Do
- If you're already enrolled in Omada, you don't need to take any further action. Your coverage will continue uninterrupted.
- If you're not currently enrolled, to maintain coverage for your weight loss medication after January 1, 2025, you'll need to apply to Omada.
Here's how to get started:
- Visit www.omadahealth.com/mlh to enroll easily.
How long does it take to have my application requirement status reflect in Methodist Le Bonheur’s system?
- Every Monday, Omada notifies Methodist Le Bonheur of who has applied for Omada in the preceding week. Once you have applied and we find that you are covered for Omada, we will send that information to MLH the following Monday, even if your participation in Omada was rejected for clinical reasons such as a medical exclusion. Depending on the day you apply and we find coverage, you could wait up to one week to have your application status be reflected in Methodist Le Bohneur’s system.
- Example: you apply on Tuesday Jan 7. We find you have coverage on the same day. We report that to Methodist Le Bonheur on Monday Jan 13 (the next Monday)., Your application status will be reflected in Methodist Le Bonheur’s system on Tuesday the 14th.
Have Questions?
- For questions about your medication coverage, please contact MLH HR Service Center directly:
- Open a case in Workday
- Call (901) 478-1111
- Call Center Hours of Operation: 8am-5pm CST (Monday - Friday)
- Email askhr@mlh.org
- For more information on Omada, please refer to our Help Center.
We understand that changes can be disruptive, and we're here to support you as you make adjustments to your weight loss plan. We believe that Omada can be a valuable tool to help you reach your goals.