What Providers Need to Know
Blue Cross Blue Shield of North Dakota (BCBSND) is updating how its commercial plans cover weight-loss medications to manage rising costs while continuing to support members with sustainable, high-quality care. Spending on weight-loss GLP-1s increased 46% in 2025 and is protected to reach a total cost of $23 million. While these medications can be effective, long-term adherence remains low and costs are impacting premiums across the board.
To address these trends, the following changes go into effect on Jan. 1, 2026, and upon plan anniversary:
- Fully insured large group plans will no longer cover weight-loss medications.
- Self-funded clients must choose to cover weight-loss medications and may add Vida Health as a buy-up for holistic support.
- For self-funded clients who choose Vida Health, a member will have to get their weight loss GLP-1s from a Vida provider.
- This means if you are prescribed a weight-loss GLP-1, you will need to receive your prescription and ongoing management directly through a Vida Health provider, rather than your current care team.
- This change isn’t a reflection on the quality of care being delivered, as many providers have been directly managing their patients’ weight loss.
- This is a strategic effort to ensure consistency, improve adherence and manage the high cost of these medications.
We’re still committed to working together with you to support members through this transition.
Questions?
If you have questions or would like to understand how these changes may affect your patients, please reach out to our provider relations teams.
