# MHBP Plan Signals Higher 2027 GLP-1 Costs

Discussion of the proposed 2027 MHBP Standard Plan describes GLP-1 cost sharing changing from 30% coinsurance capped at $200 in 2026 to 50% with no stated cap; the plan allowance and final terms are unclear. Commenters report similar changes in other plans and an OPM-related change, but those claims are unconfirmed in the discussion. For federal benefits procurement and plan-administration stakeholders, this is a potential change in benefit design and member costs—not a confirmed procurement action or government-wide policy change.

- Benefits teams and plan administrators should verify the finalized 2027 MHBP terms directly with the plan and OPM, including the coinsurance cap, plan allowance, and GLP-1 drug eligibility.
- The cited example estimates a member share increasing from $200 to $500 on a drug with a reported $1,000 monthly cost, before any manufacturer coupon; actual out-of-pocket costs depend on plan terms and applicable discounts.
- Insurers, pharmacy benefit administrators, and manufacturers may face increased questions about coverage and affordability. Alternatives mentioned in the discussion—including manufacturer discounts, HDHPs, and cash-pay or compounded medications—have different coverage, cost, and regulatory considerations.

**Jurisdictions:** federal
**Industries:** Healthcare
**Published:** October 19, 2026

### Government Entities
- Office of Personnel Management (OPM)
- Federal Employees Health Benefits Program (FEHB)

### Vendors
- Novo Nordisk (GLP-1 drug manufacturer)
- Eli Lilly (GLP-1 drug manufacturer)
- CVS Health / Aetna (health insurer and pharmacy benefit administrator)
- Blue Cross Blue Shield (BCBS) (health insurer)
- GEHA (health plan provider)

### Key Quotes
> So I read it as 50% of the plan allowance. My most recent EOB shows that the drug cost was $1,000 for a one-month supply, with my share being $200 and the plan’s share being $800 ... my share will now be $500, before any manufacturer’s coupon.
> — Commenter

> In 2026, it was possible to get a 90-day supply of Wegovy for $80 ... In 2027, it looks like that coverage is being changed to 50% coinsurance with no limit.
> — Original poster

### Sources
- [GLP-1 Coverage Gutted in 2027 MHBP Standard Plan](https://www.reddit.com/r/fednews/comments/1x9il36/glp1_coverage_gutted_in_2027_mhbp_standard_plan) - reddit-fednews