Changes in Medicare Coverage For Wegovy
Medicare no longer covers Wegovy for weight loss. Learn how this change impacts seniors and get expert advice on managing the shift.
Key Takeaways
- Check your specific Medicare Advantage or Part D plan's formulary to confirm whether Wegovy is covered for non-weight-loss medical indications, as coverage varies by plan even when approved for other reasons
- If Wegovy is not on your plan's formulary, ask your doctor to submit an exception request letter to your Medicare plan—this is a legitimate pathway to potentially access the medication with coverage
- Understand that only GLP-1 medications prescribed for medical reasons other than weight loss may qualify for Medicare coverage; weight loss as the sole indication is no longer covered
- Monitor ongoing Part D drug plan negotiations and Inflation Reduction Act changes that could affect your out-of-pocket costs, drug renegotiation, and Part B medications—subscribe to reliable sources like Jay's Corner (Substack/YouTube) to stay updated before the annual election period
Changes in Medicare Coverage For Wegovy: In this video, FinStream Co-founder Bob Powell interviews Jae Oh, author of Maximize Your Medicare, https://maximizeyourmedicare.com/ about a significant change that has largely gone unnoticed- Medicare has discontinued coverage for Wegovy when prescribed solely for weight loss purposes. This policy shift affects millions of seniors who might have been considering this popular GLP-1 medication as part of their weight management strategy. Jae offers advice for managing the changes. Find more videos featuring Jae Oh at this link: https://www.finstream.tv/featured/jae-oh/
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