Does Medicare Cover Weight Loss Drugs?

Does Medicare Cover Weight Loss Drugs?

Wondering if Medicare covers weight loss drugs? Many patients ask this question when exploring medications like Semaglutide and Tirzepatide. Here’s a quick guide to understanding your Medicare benefits:

• Medicare’s Current Stance: Medicare doesn’t cover most weight loss drugs, though coverage is provided for some obesity-related treatments, depending on your co-morbid health conditions.
• Exceptions and Options: Coverage for specific weight-loss-related conditions may vary under Medicare Part D or Advantage plans. It’s always best to call your insurance company directly and ask if your specific plan covers the drug you are looking for.
• What to Ask Your Provider: Although these medications are not currently covered just for weight loss, if you have cardiovascular disease or diabetes, they may be covered, depending on your plan.
• What to do if you are turned down by insurance: If your insurance will not cover these medications, do not be discouraged or give up. We are happy to meet with you today and see if a compound option would work well for you!

Curious if weight loss medications are an option for you? Schedule your free consultation today to learn more about your treatment options!