Medicare Now Helps Cover Weight Loss Medications
The Medicare GLP-1 Bridge Program • July 1, 2026 – December 31, 2027
Who May Qualify
- You're 18 or older with Medicare drug coverage (a Part D plan or a Medicare Advantage plan with drug coverage)
- BMI of 35 or higher, or
- BMI of 30–34.9 plus a condition such as:
- Uncontrolled high blood pressure
- Prediabetes
- Chronic kidney disease (stage 3a+)
- Diastolic heart failure
- Prior heart attack, stroke, or PAD
- BMI of 27–29.9 plus prediabetes, a prior heart attack or stroke, or peripheral artery disease
Not sure of your BMI or whether a condition qualifies? We can check at your visit.
Covered Medications
- Wegovy® (injection or tablet)
- Zepbound® (KwikPen® only)
- Foundayo® (tablet)
Good to Know
- The $50 copay is the same for everyone — income doesn't change it
- If your Part D plan already covers your GLP-1 (for example, for type 2 diabetes), you'll keep getting it that way instead
- Your doctor will confirm you're using the medication along with a diet and exercise plan
How to Get Started — 3 Easy Steps
1
Talk With Your Doctor
Schedule a visit to see if a GLP-1 medication is right for you and if you qualify.
2
We Handle the Paperwork
Your provider sends the prescription and completes the Medicare prior authorization.
3
Pick Up at Your Pharmacy
Bring your Medicare card and pay just $50 for a one-month supply.
Ready to learn more? Call us to schedule an appointment.
The Medicare GLP-1 Bridge is a temporary federal program (July 1, 2026 – December 31, 2027). The $50 copay does not count toward your Part D deductible or out-of-pocket limit and cannot be reduced by Extra Help. Eligibility is determined by Medicare. Talk with your provider to see if you qualify. Source: Medicare.gov.
