Medicare’s Weight Loss Drug Loophole

Here’s the scoop: Medicare still won’t cover weight loss drugs just for dropping pounds, but if your doc prescribes Ozempic or Mounjaro for diabetes, or Zepbound for sleep apnea, you’re in luck! These meds get the green light if they’re treating an FDA-approved condition. Bonus: there’s a $2,000 yearly cap on out-of-pocket drug costs in 2025. So, if you qualify, those pricey shots just got way more affordable! #Health #BodyHealth #Medicare

23 days ago

Joanne Joyce

Not quite sure why you’re saying it’s a loophole you have to be able to supply Medicare with all of the lab tests, indicating that you are a diabetic for Mojarro and Ozempic.

22d

Little River, SC

Reply(11)

Sonia Gonzalez

Doesn’t qualify if you are pre-diabetic/predisposed family history smh

22d

Wilmington, DE

Reply(1)

Mary Connor

WellCare won’t cover for Apnea — do you know anything new?

22d

Baltimore, MD

Reply(1)

Junebug

cant do that high price. I take ozempic. Just go to diet dr. here it's only 125.00 a month. And through medicare over 800.00. after ins.paid some. Ridiculous!

21d

Cedar Bluff, AL

Norma Stadig-Podborny

not true I have sleep apnea and cardiac issue and obesity and Medicare denied me and even several appeals

21d

Grayslake, IL

Dave

Drink 2 pints of apple juice before your blood test when you go to the doctor. Your blood sugar level will be above 200. They’ll put you on a Olympic.

22d

Columbia Falls, MT

Reply(1)

Stella Cummings Fagan

it also doesn't work even if you have other co-morbid conditions, such as sleep apnea, hbp, high cholesterol or if you have a very high BMI.

22d

Jacksonville, AL

Reply(1)

Susan Henegar

Have you people not seen what these drugs do to you? Seriously? And to want to be diagnosed with a condition like that just to take one of these drugs? Not to even mention…what you speak over yourself usually comes true.

22d

College Station, TX

Sky

Some drs won’t they say your not big enough ! So what’s the bmi for you to actually get it