Most employers who want to offer GLP-1s assume it means adding coverage through their carrier or pharmacy benefit manager, with a plan change and open-ended claims. It doesn’t have to. A provider-led program can run next to your current plan, so employees get real care and you keep control of the cost.
The Problem
Why Adding GLP-1s to the Plan Is Hard.
- Pharmacy-benefit coverage is paid claim by claim, with no cap.
- Plan changes usually wait for renewal.
- Prior authorization and step therapy slow employees down.
- No one manages the dose, the side effects or the plan for stopping.
The Alternative
How a Stand-Alone Program Works.
The program runs alongside your existing insurance. It doesn’t go through your carrier or PBM.
You choose how to pay
Full coverage, a bridge year, or voluntary access at group rates at no cost to you.
You decide who’s eligible
Each employer sets eligibility for its own workforce.
Employees book a free consult
A video visit with a licensed provider, not a questionnaire.
Providers manage treatment
Dosing, side effects and follow-ups through the patient portal. Medication ships to their door.
You pay only for employees on treatment
No per-member fee spread across the whole workforce.
Your Plan
What Changes for Your Plan.
| Your plan | With a stand-alone program |
|---|---|
| Carrier and PBM contracts | No change |
| Employees’ current insurance | Stays the same |
| GLP-1 claims through your plan | None for the program |
| Pricing | Fixed for the plan year |
Launch
What Launch Looks Like.
Kickoff call
Set eligibility and budget together.
Employee materials
An intro email for HR to send and a one-page benefit summary.
Live onboarding webinar
Employees learn how to get started and ask questions.
Employees book consults
Care starts with a free provider visit.
Due Diligence
Questions to Ask Your Broker.
- Can this run alongside our current plan without changing it?
- Are we billed per member, or only for employees on treatment?
- Is pricing fixed for the plan year?
- Is there a written performance guarantee?
Backed by a written performance guarantee
HealthClinic MD is a provider-led, LegitScript-certified telehealth practice licensed in all 50 states. Our employer program runs alongside your existing plan, pricing is fixed for the plan year, and every program is backed by a written performance guarantee.
Questions
Frequently Asked.
Do we need to change carriers or our PBM?
No. The program runs alongside your existing plan.
Can we offer it to only some employees?
Yes. Each employer decides who’s eligible.
We already cover GLP-1s through our plan. Can we still use this?
Yes. Many employers move GLP-1 care into a provider-led program to bring spend down, and we’ll run examples against your current data.
Does this work for self-funded and fully insured plans?
Yes. The program works for both.
Can we start mid-year?
Yes. Employers can launch any time of year, not just at renewal.