To help keep the cost of our health plans affordable, most 2026 plans will exclude pharmacy coverage for weight loss medications, including GLP-1s approved for conditions other than diabetes.1 Harvard Pilgrim is letting our provider network know about these changes. 

What you need to know

  • Please be sure to review any 2026 plan materials you and your covered family members receive from your employer or from Harvard Pilgrim.
  • If you and your doctor decide that weight loss medications are necessary, and your 2026 plan does not include coverage, you’ll need to pay for these drugs out of your own pocket.
  • Prescription discount cards or manufacturer copay assistance programs may be available to help with the cost of weight loss medications. Ask your pharmacy or doctor for details.
  • Speak with your doctor if you have questions about these changes or other ways to help support your weight management needs.
  • Harvard Pilgrim members continue to have access to discounts on weight management, nutrition support and fitness programs.

We continue to focus on making sure you have access to the care and support you need while working hard to keep health care affordable.

Additional resources 

Harvard Pilgrim continues to offer health plan members access to programs for weight management, nutrition support and more. Learn about wellness programs. 

Footnote(s)
1

These changes do not impact access to GLP-1 medications prescribed for diabetes. Some employer-sponsored plans may include coverage for these medications; please refer to your 2026 plan information for details. Additional eligibility criteria may apply and are subject to change.