62% of GLP-1 requests were denied in 2024 — but up to 80% of well-documented appeals succeed. Answer a few questions about your specific denial and get a personalized appeal letter ready to send.
30-50% appeal success rate
45 days typical decision time
Free — no signup needed
Step 1 of 40%
What reason did your insurer give for the denial?
Check your denial letter — select the closest match
Not medically necessary
Insurer says criteria not met
Step therapy required
Must try other treatments first
Plan exclusion
"Not covered no matter what"
BMI/weight criteria not met
Doesn't meet numeric threshold
Missing documentation
Incomplete prior auth submission
Off-label use (weight loss)
Approved for diabetes only
Quantity/dose limit exceeded
Prescribed dose above plan limit
Not sure / general denial
Letter wasn't clear on the reason
What type of insurance plan do you have?
This determines which appeal rights and pathways apply to you
Employer plan (fully insured)
Subject to state insurance mandates
Employer plan (self-insured)
Large employer, ERISA-governed
ACA Marketplace plan
Purchased on healthcare.gov or state exchange
Medicare
Part D or Medicare Advantage
Medicaid
State-administered coverage
Not sure
I'll figure this out from my card/docs
A few details for your letter
This personalizes the appeal — all stays in your browser, nothing is saved
35%
Estimated baseline success rate for your situation — well-documented appeals with the right approach often do better
📄 Your personalized appeal letter
✓ Copied!
✅ Attach these documents with your letter
Your next steps
📞 If your physician gets a "peer-to-peer" review call
This is a phone call between your physician and the insurer's medical director. It can happen the same day and reverses denials surprisingly often. Share this with your doctor's office:
If your appeal doesn't succeed
Compounded semaglutide and tirzepatide through telehealth cost $99-199/month — often less than the copay on a denied-then-approved brand medication. You don't have to wait for the appeal to explore this option.
This tool generates a template letter based on common, evidence-based appeal language. It is not legal or medical advice and does not guarantee approval. Always have your prescribing physician review and customize the letter before submission, and consult your plan documents for your specific appeal deadlines and process.
Advertiser Disclosure: FuturWeightLoss.com receives compensation when you click some links on this page. The letter generator itself is completely free.