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Weight-loss injection

Which health insurer pays for the weight-loss injection?
None for weight loss. That is the law.

Public health insurers are not allowed to pay for weight-loss medication, even for severe obesity. This applies equally to all insurers, and switching insurer does not change it. It is different if the same active ingredient is prescribed for type 2 diabetes.

Author: Jan Ortgies · As of 11 November 2026 · If a switch comes about through our comparison, we receive a fee from the new insurer, not from you.

Legal position

What applies to all insurers

Excluded for weight loss
Medicines for slimming and for regulating body weight are excluded from cover by law. This includes the well-known products when used for weight reduction. The Federal Joint Committee (G-BA), which decides what public insurance covers, sees no leeway here, even for severe obesity. There is an exception only for one product for very rare, genetic forms.
No voluntary extra
The law does not provide for prescription medicines as a voluntary benefit either. Switching insurer does not change that.
For type 2 diabetes
If you have type 2 diabetes and your doctor considers a product approved for it necessary, it can be prescribed at the insurer’s expense. You bear the usual co-payment of €5 to €10, or €7.50 to €15 from 2027. This is not a route to a weight-loss injection paid for by the insurer.
Private cost
Anyone paying for the injection themselves should expect around €130 to just under €500 a month, according to the consumer advice centres (as of March 2026).

Instead

What insurers cover for weight loss

Courses
Insurers subsidise certified prevention courses on nutrition and exercise. The amount and number of courses differ.
Treatment
How severe overweight (obesity) is treated is something you decide with your doctor. In individual cases the insurer can cover surgery, as a rule after an application and assessment.
Bonus programmes
Insurers run bonus programmes for check-ups, courses and club sport. What applies to gyms →
What you can compare
Switching insurer does not help with the weight-loss injection. Insurers differ in courses, bonus programmes and contributions. You can compare those in the calculator below for the insurers listed there.
Comparison calculator

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Note: The comparison is free and non-binding. You'll find legal information in our legal notice, privacy policy and initial information.

Remuneration notice: We act as an insurance broker and may receive remuneration if a switch of health insurer comes about through our brokerage. This is paid by the receiving health insurer – there are no additional costs for you.

Ranking notice: The order of insurers in our partner VGK24’s comparison calculator may be influenced by the amount of remuneration. Our own insurer lists on this website are sorted by additional contribution only. The comparison does not claim to include every health insurer on the market.

FAQ

Frequently asked questions

Does public health insurance pay for the weight-loss injection?
Not for weight reduction. Weight-loss medicines are excluded by law, and that applies to all public insurers.
Is there an insurer that pays for it voluntarily?
According to our research, no: the law does not provide for prescription medicines as a voluntary benefit (as of November 2026).
What applies for diabetes?
For type 2 diabetes a product approved for it can be prescribed at the insurer’s expense. Your doctor decides based on medical need.
What does your help cost?
Nothing for you. List, comparison and application are free. If a membership comes about through us, we receive a fee from the health insurer – not from you.

This page is general information based on our own research, without guarantee, and does not replace individual advice, legal or tax advice, medical advice or information from your insurer. The legal position can change; the law and the medicines directive in their current version are decisive.

Sources: § 34 SGB V · § 11 SGB V · § 61 SGB V · G-BA: medicines directive, annex II (German) · Consumer advice centres: weight-loss injections (German)

Transparency

Why is the comparison free?

The comparison and advice on statutory health insurance cost you nothing. If a switch comes about through us, we receive remuneration from the new health insurer – not from you. Your contribution is the same as if you switched directly with the insurer, and you enter into no obligation.

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