GEHA GLP-1 coverage in 2027: 50% of the cost, and a required virtual program

From January 1, 2027, GEHA members pay 50% of the cost of a GLP-1 prescribed for weight loss. The tiered copay no longer applies. You also have to join the plan's virtual weight program first.

If 50% or the program is too much: cash now

What the GEHA brochure says

Anti-Obesity Medications (glucagon-like peptide-1 and other related sub-categories, as determined by the Plan): The member cost sharing will increase to 50%. The varied tiered cost sharing will no longer apply for these services.

Source: GEHA Benefit Plan (High and Standard) 2027 brochure, Changes section, on opm.gov, read November 2, 2026.

• The brochure says joining the program, which includes intensive behavioral therapy, is required "before and during" approval of any anti-obesity medication.
• The 50% applies at retail and through mail order, and prior authorization is still required.
• GEHA's High Deductible Health Plan and Indemnity Benefit Plan brochures carry the same kind of change, so read the one for your own plan.

GEHA says the program costs nothing for members who enroll with its virtual partner. Ask GEHA who that partner is before January, because the brochure does not name it.

What cash costs today

The brochure states a share of the plan allowance. Ask the plan for your drug's allowance, then compare it with these.

Compounded semaglutide and tirzepatide are pharmacy-made versions that are not FDA-approved and are not Wegovy, Ozempic, Zepbound or Mounjaro.

All federal plans also sit under OPM's 2027 rule on GLP-1 coverage.

Frequently asked questions

Cash does not go through your plan and does not count toward its deductible. 2027 open enrollment dates.