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Medicare Advantage leader serving ~17M members
Humana is the largest Medicare Advantage insurer, with ~17M members. Most Humana plans are Medicare-derived (MA, PDP), inheriting Medicare's GLP-1 restrictions. Commercial group plans are a small minority.
Humana Medicare Advantage plans follow Medicare Part D rules: diabetes GLP-1s covered, weight-loss excluded. Wegovy not covered. Zepbound covered with OSA + obesity dual indication. Commercial Humana plans (small portion) cover weight-loss with PA.
Sample copays based on a representative Humana plan. Your specific plan may differ.
| Product | Status | Sample copay |
|---|---|---|
| Hims & Hers Weight Loss | Not covered | — |
| Mounjaro T2D diagnosis | Covered | $45/mo |
| Ozempic T2D diagnosis | Covered | $45/mo |
| Zepbound OSA + obesity dual indication. Sleep study + AHI documentation required. | PA required | $45/mo |
| Wegovy Medicare Part D statutory exclusion for weight-loss | Excluded | — |
Look up your specific plan ID for plan-level accuracy. Open formulary tool
Coverage shown is a sample plan and not a guarantee for your specific Humana plan. Always verify with member services or your benefits administrator. We update this page when formulary changes are detected — last verified May 16, 2026.
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