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Why Doesn’t Insurance Cover Semaglutide for Weight Loss? Ozempic is approved by the U.S. Food and Drug Administration (FDA) to: Help people with type 2 diabetes manage blood sugar levels
The Biden administration wants to expand coverage of anti-obesity medications to millions on Medicare, Medicaid. Biden wants Medicare, Medicaid to cover pricey weight loss drugs such as Wegovy ...
In 2021, House lawmakers introduced The Treat and Reduce Obesity Act, which would have allowed the federal government to expand Medicare Part D coverage to include weight loss medications.
Medicare doesn’t usually cover weight loss drugs. Medicaid covers some weight loss drugs in some states, though. For example, Medicaid doesn’t currently cover Zepbound®, but it does cover ...
But research suggests far more people might qualify, with the Centers for Medicare and Medicaid Services estimating roughly 28 million people on Medicaid are considered obese. Medicare has been barred from offering the drugs under a decades-old law that prohibits the government-backed insurance program from covering weight-loss products.
The proposed rule would make an estimated 4 million Medicaid recipients and 3.4 million Americans on Medicare eligible for the drug, which can retail for over $1000 per month without coverage.
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