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For the first time, Medicare will allow coverage of one of the new blockbuster weight-loss drugs for enrollees in Part D plans. The plans may now cover Wegovy when prescribed to prevent...
For more than two decades, a law has prohibited Medicare from paying for weight loss drugs, cutting off access to millions of potential patients who could stand to benefit.
Medicare doesn’t cover drugs prescribed for weight loss, but it covers popular weight loss drugs Ozempic and Wegovy when they’re prescribed for other reasons.
Medicare is prohibited by law from covering medications that solely treat obesity. Anti-obesity medications that prove a health benefit outside of obesity do have the potential to get...
Federal government decided this week that Medicare and Medicaid prescription plans will cover the weight loss drug Wegovy, called Ozempic, when it's prescribed for diabetes.
What does this mean for Medicare coverage of anti-obesity drugs? For now, use of GLP-1s specifically for obesity continues to be excluded from Medicare coverage by law.
No, Medicare does not cover weight-loss medications. These medications, such as Zepbound and Wegovy, are excluded from coverage under the Medicare Prescription Drug, Improvement, and Modernization Act.
For the first time, Medicare plans can now cover a blockbuster weight loss drug, Wegovy. But the drug will be limited to people diagnosed with heart disease as well as weight problems.