The short version
Cigna's 2025 PA update requires patients to document six months of structured lifestyle modification through a recognized program (WeightWatchers, hospital-based or physician-supervised) before approving GLP-1 weight-loss medications. The structured requirement is stricter than Aetna or UHC. Programs that can document this prior history correctly are the difference between approval in 4 weeks and denial in 8.
What we considered
- In-network with Cigna commercial
- Documents the six-month structured lifestyle history correctly
- Coordinates with WeightWatchers or similar prior-program records
- Handles Cigna's specific PA form correctly
Top pick: Form Health
Form HealthBoard-certified obesity docs. Insurance route $25-$199; cash is the steepest.
Starts From
$299/mo+ medication separateLock-In
Month-to-monthScore
7.6
Form Health is the strongest fit for Cigna: their obesity-medicine specialists know exactly what Cigna's PA reviewer is looking for and structure the visit notes accordingly.
Read the full Form Health review →
Other strong picks
WeightWatchers ClinicWeightWatchers Clinic has built-in continuity with WW behavioural records, which counts as the structured-lifestyle requirement Cigna asks about.
Starts From
$55/mo+ med separateLock-In
12-month commitmentScore
4.8
KnownwellKnownwell handles Cigna PA with full clinical workup; works for patients who have a complex medical history beyond obesity.
Starts From
Insurance-billed+ med separateLock-In
Month-to-monthScore
7.5
PlushCarePlushCare is in-network with most Cigna plans and runs the PA, but expects more denials than Form Health on first submission.
Starts From
$19.99/mo+ med separateLock-In
Month-to-monthScore
7.2
Related
Why you can trust GLP ChartSame scoring framework applied to every program. No paid placements. No removal of unfavorable information at advertiser request. Pricing is pulled from each program's public-facing page weekly.