{"id":137565,"date":"2026-07-01T13:19:02","date_gmt":"2026-07-01T17:19:02","guid":{"rendered":"https:\/\/cablemanpro.com\/wallstreetpr\/big-medicare-change-slashes-weight-loss-drug-costs-for-eligible-seniors-137565"},"modified":"2026-07-01T13:19:02","modified_gmt":"2026-07-01T17:19:02","slug":"big-medicare-change-slashes-weight-loss-drug-costs-for-eligible-seniors","status":"publish","type":"post","link":"https:\/\/cablemanpro.com\/wallstreetpr\/big-medicare-change-slashes-weight-loss-drug-costs-for-eligible-seniors-137565","title":{"rendered":"Big Medicare change slashes weight-loss drug costs for eligible seniors"},"content":{"rendered":"<div>\n<p>Millions of Medicare beneficiaries <a href=\"https:\/\/foxnews.com\/category\/health\/nutrition-and-fitness\/obesity\" target=\"_blank\" rel=\"noopener noreferrer\">struggling with obesity<\/a> could soon see the cost of weight-loss drugs plummet, as a new federal pilot program launching July 1 expands access to GLP-1 medications like Wegovy and Zepbound for eligible seniors.<\/p>\n<p>Through a new trial called Medicare GLP-1 Bridge, the federal government is now offering a selection of the brand-name medications to certain Medicare and Medicare Advantage beneficiaries for $50 a month, The Associated Press reported.<\/p>\n<p>The <a href=\"https:\/\/foxnews.com\/category\/health\/healthy-living\/medications\" target=\"_blank\" rel=\"noopener noreferrer\">covered medications<\/a> include drugmaker Eli Lilly\u2019s Foundayo tablets and Zepbound KwikPens and Novo Nordisk\u2019s Wegovy injections and tablets, all of which have been FDA-approved for weight loss, according to the report.<\/p>\n<p><a href=\"https:\/\/foxnews.com\/health\/ozempic-users-may-making-major-weight-loss-mistake-new-study-suggests\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>OZEMPIC USERS MAY BE MAKING A MAJOR WEIGHT-LOSS MISTAKE, NEW STUDY SUGGESTS<\/strong><\/a><\/p>\n<p>The temporary program is set to run until the end of 2027.<\/p>\n<p>This is the first time GLP-1s (glucagon-like peptide-1 receptor agonists) will be covered by insurance when used <a href=\"https:\/\/foxnews.com\/category\/health\/nutrition-and-fitness\/weight-loss\" target=\"_blank\" rel=\"noopener noreferrer\">solely for weight loss<\/a>.<\/p>\n<p>Prior to this new Medicare pilot, seniors who wanted to access GLP-1s for obesity alone paid about $1,350-$1,650 per month for Novo Nordisk\u2019s Wegovy (semaglutide) and about $1,086 monthly for Lilly\u2019s Zepbound (tirzepatide). However, both manufacturers offered some cash-pay options that significantly reduced those prices for eligible patients.<\/p>\n<p><a href=\"https:\/\/www.foxnews.com\/lifestyle\/glp-1-weight-loss-drugs-reshaping-bridal-industry-shops-rush-orders-require-new-waivers\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>GLP-1 WEIGHT LOSS DRUGS ARE RESHAPING THE BRIDAL INDUSTRY AS SHOPS RUSH ORDERS AND REQUIRE NEW WAIVERS<\/strong><\/a><\/p>\n<p>There are some parameters surrounding the coverage \u2014 older adults must have had a body mass index (BMI) of 35 or higher when they started GLP-1 therapy, or a BMI of 27 or higher alongside another health condition, such as a past <a href=\"https:\/\/www.foxnews.com\/category\/health\/heart-health\" target=\"_blank\" rel=\"noopener noreferrer\">heart attack or stroke<\/a> or prediabetes.<\/p>\n<p><a href=\"https:\/\/www.foxnews.com\/category\/lifestyle\/quizzes\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ<\/strong><\/a><\/p>\n<p>Those who already have insurance coverage for other diseases, <a href=\"https:\/\/foxnews.com\/category\/health\/diabetes\" target=\"_blank\" rel=\"noopener noreferrer\">such as diabetes<\/a> and sleep apnea, are not eligible for the program.<\/p>\n<p>There are more than 70 million Americans currently enrolled in Medicare, 10 million of whom are overweight or obese, according to Juliette Cubanski, vice president and director of the program on Medicare policy at the healthcare research nonprofit KFF.<\/p>\n<p><a href=\"https:\/\/www.foxnews.com\/newsletters?cmpid=fnfirstnl\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER<\/strong><\/a><\/p>\n<p>&#8220;For many older Americans living with obesity, this is a moment they and their families have been waiting for,&#8221; Jamey Millar, Novo Nordisk\u2019s executive vice president of U.S. operations, said in a press release.<\/p>\n<p>&#8220;The Medicare GLP-1 Bridge program offers a new, affordable path to an FDA-approved treatment that was previously not covered.&#8221;<\/p>\n<p><a href=\"https:\/\/www.foxnews.com\/health\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>CLICK HERE FOR MORE HEALTH STORIES<\/strong><\/a><\/p>\n<p>Dr. Mehmet Oz, administrator of the Centers for Medicare &amp; Medicaid Services, said he hopes the program can help his agency collect data to potentially work toward longer-term coverage, while providing immediate relief to cash-strapped older Americans, AP reported.<\/p>\n<p>&#8220;The sheer cost of <a href=\"https:\/\/www.foxnews.com\/category\/health\/healthy-living\/medications\" target=\"_blank\" rel=\"noopener noreferrer\">these medications<\/a> is a huge barrier to access,&#8221; he said in a call with reporters. &#8220;That ends today.&#8221;<\/p>\n<p>Oz told reporters that CMS plans to &#8220;carefully track participation and outcomes&#8221; to see whether an extension of the Bridge program or another solution is the best way to move forward. He told AP a <a href=\"https:\/\/www.foxnews.com\/category\/politics\/executive\/law\" target=\"_blank\" rel=\"noopener noreferrer\">federal law<\/a> permanently allowing the coverage is &#8220;not essential right now&#8221; but something &#8220;for Congress to debate amongst themselves.&#8221;<\/p>\n<p>&#8220;We can\u2019t decide what\u2019s going to happen long term with Bridge until we see some of the data,&#8221; he said, adding that there are ongoing talks with drug companies to lower costs.<\/p>\n<p>One potential concern is that <a href=\"https:\/\/foxnews.com\/category\/health\/geriatric-health\" target=\"_blank\" rel=\"noopener noreferrer\">older patients<\/a> tend to have more adverse effects to medication in general , according to Dr. Micah Eimer, a clinical assistant professor of cardiology at the Northwestern University Feinberg School of Medicine.<\/p>\n<p>&#8220;Specifically, in our research, older patients on blood pressure medications were more likely to experience hypotensive side effects, such as fainting and dizziness, after starting a GLP-1,&#8221; he said in a statement.<\/p>\n<p><i>The Associated Press contributed to this report.<\/i><\/p>\n<\/div>\n<p><a href=\"https:\/\/www.foxnews.com\/health\/big-medicare-change-slashes-weight-loss-drug-costs-eligible-seniors\">Source &#8211; https:\/\/www.foxnews.com\/health\/big-medicare-change-slashes-weight-loss-drug-costs-eligible-seniors <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Millions of Medicare beneficiaries struggling with obesity could soon see the cost of weight-loss drugs plummet, as a new federal pilot program launching July 1 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":{"twitter_2902945987_2902945987":""},"rop_publish_now_history":[],"rop_publish_now_status":"pending","footnotes":""},"categories":[16563],"tags":[],"stock_ticker":[],"class_list":["post-137565","post","type-post","status-publish","format-standard","hentry","category-market-news","entry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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