About this episode
Resources for the Community: ___________________________________________________________________ Ro - Telehealth for GLP1 weight management https://ro.co/weight-loss/?utm_source=plussidez&utm_medium=partnership&utm_campaign=comms_yt&utm_content=45497&utm_term=55 Ro GLP-1 Insurance Checker https://ro.co/weight-loss/glp1-insurance-checker/ Ro GLP-1 Supply and Shortage Tracker https://ro.co/weight-loss/supply-tracker/ Learn more about Obesity https://www.obesityaction.org/ ______________________________________________________________________ Today, our community guest and specialist guest are the same person, Miri. Miri is an HR specialist who shares valuable insights on healthcare insurance and benefits. We discuss the challenge of getting insurance to cover specific treatments, delve into off-label medical use, explore self-insured plans, and demystify Pharmacy Benefit Managers (PBMs). The effectiveness of wellness plans is assessed, and Prior Authorization and peer-to-peer reviews are unveiled. Changes in obesity treatment labeling are discussed, as are insurance tactics like Step Therapy. With open enrollment season approaching, the episode provides actionable advice, including leveraging DEI initiatives for comprehensive coverage. Appeals processes are demystified, offering practical guidance to ensure effective healthcare coverage. ________________________________________________________________________ Join this channel to get access to perks: https://www.youtube.com/channel/UC0HUIGKl3BN4Vg6LYI-dkOA/join ________________________________________________________________________ ⭐️Mounjaro Stanley⭐️ griffintumblerco.Etsy.com Use code PODCAST10 for $ OFF ______________________________________________________________________ #Mounjaro #MounjaroJourney #Ozempic #Semaglutide #tirzepatide #GLP1 #Obesity #zepbound #wegovy Send us Fan Mail! Support the show Kim Carlos, Executive Producer TikTok https://www.tiktok.com/@dmfkim?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/dmfkimonmounjaro?igsh=aDF6dnlmbHBoYmJn&utm_source=qr Kat Carter, Associate Producer TikTok https://www.tiktok.com/@katcarter7?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/mrskatcarter?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==