Do You Qualify for Medicare's $50/Month GLP-1 Coverage?

You generally need a Medicare drug plan (a standalone Part D plan or a Medicare Advantage plan with drug coverage), to be 18 or older, and to meet one qualifying tier: a BMI of 35 or higher on its own, a BMI of 30 or higher with a condition like heart failure or chronic kidney disease, or a BMI of 27 or higher with prediabetes or a history of heart attack or stroke. Our free checker walks you through it and emails you the details.

Type 2 diabetes, moderate-to-severe sleep apnea, metabolic liver disease (MASH), and established heart disease usually open GLP-1 coverage through your regular Part D plan rather than the $50 Bridge. That is still a coverage path, and for many patients an even more durable one because it does not expire in 2027. Either way, we handle the prior authorization.

No. We see Medicare patients by telehealth anywhere in Arizona, including Phoenix, Flagstaff, Yuma, and everywhere in between, and in person at our Tucson office. New non-surgical patients must be Arizona residents.

Yes. The Medicare GLP-1 Bridge is an official CMS program running from July 1, 2026 through December 31, 2027. Eligible patients pay a flat $50 per monthly supply with no deductible. We confirm your eligibility before you start.