A Big Change Is Coming to Medicare in July 2026
Key Points
Medicare currently only covers GLP-1s for the treatment of certain medical conditions.
Beginning in July, it will cover GLP-1s for weight loss.
Next year, it'll be up to each Part D plan provider to decide whether to cover GLP-1s for weight loss.
- The $23,760 Social Security bonus most retirees completely overlook ›
Medicare's prescription drug coverage changed significantly this year, with 10 popular medications now available to beneficiaries at lower negotiated rates. Unfortunately, that list leaves out some of the most popular drugs at the moment: GLP-1s.
Part D plans often cover these medications for the treatment of conditions such as Type 2 diabetes. But if you were hoping to use them for weight loss, you're out of luck -- at least for now. But that's all about to change.
Will AI create the world's first trillionaire? Our team just released a report on the one little-known company, called an "Indispensable Monopoly" providing the critical technology Nvidia and Intel both need. Continue »
Image source: Getty Images.
Beginning in July 2026, Medicare is launching the GLP-1 bridge program. This would allow any senior with a Medicare Part D plan or a Medicare Advantage plan that includes prescription drug coverage to receive GLP-1 medication for weight loss, as long as they have their doctor submit a prior authorization request.
This could save you a bunch of money on your retirement healthcare costs, as the cost of paying for GLP-1 drugs out of pocket can exceed $1,000 a month. However, you may be able to reduce this amount by seeking discounts or using other insurance.
Beginning in 2027, it'll be up to each Part D plan provider to decide whether they want to offer GLP-1 coverage for weight loss. So when it's time to choose your plan during the next Open Enrollment Period, pay special attention to this when comparing your options.
If you have any questions about Medicare's GLP-1 coverage, you can contact the Center for Medicare & Medicaid Services directly. Or you can contact your Part D plan provider, and it may be able to point you in the right direction.
The $23,760 Social Security bonus most retirees completely overlook
If you're like most Americans, you're a few years (or more) behind on your retirement savings. But a handful of little-known "Social Security secrets" could help ensure a boost in your retirement income.
One easy trick could pay you as much as $23,760 more... each year! Once you learn how to maximize your Social Security benefits, we think you could retire confidently with the peace of mind we're all after. Join Stock Advisor to learn more about these strategies.
View the "Social Security secrets" »
The Motley Fool has a disclosure policy.
Recommended Articles
