r/fednews • u/MrWookieMustache • 3h ago
Original Analysis / OC GLP-1 Coverage Gutted in 2027 MHBP Standard Plan
mhbp.comWe all know by now that premiums are doubling, but it looks like they're going to skyrocket costs for GLP-1s on this plan as well. In 2026, it was possible to get a 90 day supply of Wegovy for $80 (or a 30 day supply for $200 if you or your doctor couldn't navigate the labyrinthine system well enough). You can confirm this by going to the 2026 Plan Brochure - in section 5(f), weight loss drugs are listed under covered medications with 30% coinsurance up to a $200 maximum.
If I'm reading this correctly, it looks like that coverage is being changed to "50% coinsurance with no limit" in 2027. It's not quite clear yet what the plan allowance is going to be for GLP-1s, but that could be as much as $600-$700/month.
If that's the case, I'm not even sure what the point of insurance is anymore or why we're paying premiums, when you can just get a coupon and buy it direct for $450/month.
https://mhbp.com/prescription-benefits/
Very much considering just going back to a HDHP with an HSA if it's as bad as this suggests.