I have seen people gain weight just to push themselves over the edge to get the drug. Once they are on it, they more a quickly reach their goal weight than they

I have seen people gain weight just to push themselves over the edge to get the drug. Once they are on it, they more a quickly reach their goal weight than they would have otherwise. Others will simply lie about their weight to their primary care, increasing it slightly to match the BMI bar. Finally, some people will get the drug from compound pharmacies. TL;DR - yes, it probably impacts premiums, but insurance companies are somewhat evil for attaching so many restrictions around a drug that every overweight person should have free access to. It is frankly ridiculous that these companies have the power to get between a doctor and patient, and what the doctor deems medically necessary.