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But beginning Jan. 1, Halstead's federal Blue Cross Blue Shield health insurance plan is changing coverage for glucagon-like peptide 1 (GLP-1) drugs such as Wegovy and Ozempic.
Medicare covers Wegovy as a treatment to reduce the risk of serious cardiovascular events in people who have overweight or obesity. It does not cover Wegovy for weight loss.
The negotiated prices won’t take effect until 2027. Medicare spent $14.4 billion on Ozempic and Wegovy, as well as their sister medication Rybelsus, between November 2023 and October 2024.
If your insurance provider covers Wegovy, you might be able to save up to $225 a month, so your out-of-pocket cost could be reduced to zero. For Rybelsus, if you’re eligible and your commercial ...
Some people may be eligible for Medicare coverage for Wegovy if they meet medical criteria for heart disease risk. However, Medicare does not cover medications that are strictly for weight management.
When people with obesity can’t lose weight, Wegovy can help. But health insurance often doesn't cover anti-obesity drugs so Ozempic is an off-label use option.
Private insurers are evaluating the guidance — and the new indication for Wegovy — before making coverage decisions, said a spokesperson for AHIP, America’s Health Insurance Plans, an ...
Medicare’s recent move to cover the weight-loss drug Wegovy for some recipients with heart disease risk could drive up the cost of monthly premiums for many of the 65 million adults enrolled in ...
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