Hilton Worldwide is a global brand of full-service hotels and resorts and the flagship brand of American multinational hospitality company Hilton.

Vida is serving the US employee population only

Zendesk Org Tag: Hilton

Landing Page: https://www.vida.com/hilton

Programs & Devices Offered

• For full details on programs and devices offered, please review this Vidapedia Card.
• For full details on devices offered, please review Device Eligibility Google Doc.

Hilton Coverage Change: Removal of GLP-1 & Select AOM Coverage (Effective 12/31/2025)

Policy Change Summary:Effective December 31, 2025, Hilton will be removing coverage for GLP-1 (Glucagon-like peptide-1) medications and certain other Anti-Obesity Medications (AOMs) from their employee health plan.

Key Dates & Member Notification

Covered AOMs (Unchanged)

The following Anti-Obesity Medications (AOMs) will remain covered by the Hilton plan:

• Metformin
• Bupropion
• Naltrexone

 Vida Provider Guidance & Member Options

Members may remain enrolled in the Vida Medical Weight Loss program and continue to see their Vida Medical Provider (VMP).

Providers must exercise clinical judgment and shared decision-making with the member to determine the best transition path. Available options include:

Self-Pay GLP-1 Process:

1. VMP continues to use Vida's prescribing guidelines to ensure clinical appropriateness.
2. Prescription is sent to LillyDirect, NovoCare, or the member's pharmacy of choice.
3. The member pays the full cost out-of-pocket.

❓ Member Coverage Questions (Crucial Step)

DO NOT attempt to answer specific benefit or coverage questions, including costs, eligibility, or Prior Authorization status.

Direct ALL coverage and benefits questions to the Hilton Benefits Center:

• Phone: 877-442-4772
• Website: worklife.alight.com/hilton

See this VP Card for additional prescribing details.

• Drug List: HTN, HLD, AOMs, Diabetes Rx, CHF/COPD
  
  • Formulary: Standard Drug List; Advanced Control List
  • Contrave: generic option
  • Grandfathering: No
  • Gold-carded: Yes

See the Use Case 3 section here: https://support.vida.com/hc/en-us/articles/23889726866195-Anti-Obesity-Medication-AOM-Prescribing-and-Prior-Auth-Use-Cases 

MWL General Information Article

• Group MWL - Members who have previously been on an AOM will be onboarded into group program. They will need to send medical records and meet with a VMP
  • For all new members we are updating onboarding so that they flow into Group MWL if they are already on an AOM
  • For members who are currently in 1:1 MWL and have been on an AOM and have not yet met their VMP we are askign them to upload their medical records so that doctor can verify that and proceed with prescription if appropriate (we were not asking for medical records previously)
  • If member is able to upload before consult, then great, prescriber should be able to take a look and action accordingly
  • If a member is unable to then the prescriber will ask the member to upload medical records as soon as they can after the consult
    Once uploaded, prescriber will action

1. Charter & Hilton members can now switch their Vida Medical Provider (prescriber) directly in the Vida app! This update gives them more control and helps them find a prescriber with earlier availability—without needing manual support.
2. What you need to know:
3. Who? Only Charter & Hilton members (For other orgs, provider changes still go through the escalation flow to our prescribing team, which can take longer.)
4. How? Members go to Settings > Switch Provider in the app.
5. App Update Required! They must update to the latest version via Apple App Store or Google Play to see this feature.
6. How were they notified? Members who don’t have auto-updates were sent email + in-app messages so they know to update.
7. If members reach out, remind them to update their app and follow the steps above. Thanks, everyone! 

Population Details

• 16000 members
  • Employees, Spouses/DPs, Dep 18+

Throughout US - Heavy concentration in DC area (includes MD/VA), TX, TN, FL

Additional Info

• What segment is this org in?
  • Employer
• Are there any Fees at risk (FAR) org?
  • Yes
    • No support SLAs
• When did we launch with this org?
  • 1/1/2024
• How is the service being paid for?
  • Vida is available at no cost to Employees, Spouses/DPs, Dep 18+
• How do members enroll?
  • Vida App
• Where should non-eligible members be directed?
  • Hilton Benefits Center (run by Alight) - 877-442-4772
• Who is eligible?
  • Hilton also has a new eligibility statement for 2026: Hilton Team Members and their spouses/domestic partners and dependents age 18+ who are located in the US and enrolled in a Hilton medical plan through Anthem, Cigna, or UHC Surest are eligible for Vida Health at no charge.
• Is the org on the eligibility file?
  • YES
• Prescribing UPDATE:
  
  • Any future prescriptions for Topiramate after June 1st, 2025 will need to be for a 90 day supply and will need to be through the CVS Caremark prescription mail service to be covered. Questions about the mail service can be directed to CVS
• How often will terminations take place?
  • Monthly [Typically this is the answer]
• Do we offer Phone and/or Email support?
  • Phone + Email
• Is VSC outreach involved?
  • No
• CVS Benefits Change FAQs

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