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Deb Gordon

Deborah D. Gordon has spent her career trying to level the playing field for healthcare consumers. She is co-founder of Umbra Health Advocacy, a marketplace for patient advocacy services, and co-director of the Alliance of Professional Health Advocates, the premiere membership organization for independent advocates. She is the author of "The Health Care Consumer's Manifesto: How to Get the Most for Your Money," based on consumer research she conducted as a senior fellow in the Harvard Kennedy School's Mossavar-Rahmani Center for Business and Government. Deb previously spent more than two decades in healthcare leadership roles, including chief marketing officer for a Massachusetts health plan and CEO of a health technology company. Deb is an Aspen Institute Health Innovators Fellow, an Eisenhower Fellow and a Boston Business Journal 40-under-40 honoree. Her contributions have appeared in JAMA Network Open, the Harvard Business Review blog, USA Today, RealClear Politics, The Hill and Managed Care Magazine. She earned a BA in bioethics from Brown University and an MBA with distinction from Harvard Business School.

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 How to Talk About Obesity and Obesity-Related Insurance Coverage at Work

How to Talk About Obesity and Obesity-Related Insurance Coverage at Work

A guide for employees and employers

Your Care

Obesity is so common in the United States that nearly half (4 out of 10) American adults live with the disease, which can pose serious health risks and lead to premature death.

Many people living with obesity face discrimination or poor treatment in the workplace.

Employers can help reduce stigma, improve working environments for people with obesity, and make sure employee benefits cover medically necessary treatments and programs. Covering treatments for obesity can not only improve the health and well-being of employees, but it can also reduce company healthcare costs.

Employees can also play a role by advocating for their needs and for a workplace built on fairness, compassion and respect.

Here’s how to address obesity and related health insurance coverage in the workplace:


Employers talking with their employees about obesity health insurance

How to talk about obesity

  • Do say: People living with obesity.
  • Don’t say: Obese people, fat people or overweight people.

How to think about obesity

  • Do recognize that obesity is a disease, not a character flaw or lifestyle choice.
  • Don’t assume that workers living with obesity are unmotivated or unprofessional.
  • Do recognize that, for some people, diet and exercise are not enough to lose weight. Medications or surgery may be necessary.

How to communicate with employees living with obesity

  • Do be respectful, compassionate and open.
  • Don’t dismiss people’s concerns.
  • Don’t judge or mock people’s experiences or appearance.

What you can do to support people living with obesity

  • Don’t leave employees to figure out the benefits on their own.
  • Do learn the details of the company’s coverage for obesity treatment.
  • Do advocate for benefits that support people living with obesity:
    • Anti-obesity medications
    • Diet and nutrition programs
    • Weight-loss surgery
    • Prescription digital therapies
    • Obesity specialists
    • Exercise programs
    • Mental health professionals, nutritionists and dietitians


woman working at her desk

How to advocate for health benefits not covered by insurance

  • Tell your employer what coverage would help you manage your disease:
    • Anti-obesity medications
    • Surgery
    • Programs or interventions
    • Obesity care specialists

Read: Dear Employer: How to Ask for Obesity Care Insurance Coverage

  • Calculate your out-of-pocket costs. Let your employer know where your health insurance benefits fall short and what that costs you.
  • Share healthcare provider recommendations for treatments and programs and ask your employer to add them to the benefits package for everyone.

This educational resource was created with support from Eli Lilly and Company.

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