Overview
Whether you're seeking support for metabolic health, hormonal balance, or longevity optimization, Medication may be part of your personalized care plan at Meto.
Insurance coverage for Medication can vary based on your plan type, your medical diagnosis, and the intended use. Here's what you need to know about using UPMC Health Plan for Medication.
Coverage Overview: Medication and UPMC Health Plan
What you should expect:
Coverage for Diagnosed Conditions:
Medication may be covered if prescribed for certain diagnoses (e.g., Type 2 Diabetes, hypogonadism, thyroid disease). Coverage for preventive or longevity use is less common.
Prior Authorization Requirements:
In most cases, approval requires demonstrating medical necessity through labs, clinical history, and prior treatments.
Copays and Costs:
If approved, you may pay a specialist-tier copay or percentage coinsurance based on your UPMC Health Plan plan.
Alternative Options if Not Covered:
Meto supports patients by offering cash-pay pricing and exploring medication discounts if insurance does not cover Medication.
If UPMC Health Plan Doesn’t Fully Cover Medication
If your plan does not cover Medication, Meto offers competitive self-pay options and flexible financing to ensure you still have access to needed care.
We’re committed to making metabolic and longevity care accessible to you.
