Medicare Coverage for Wegovy: What's the Latest Update?

Wegovy is a weight loss medication that has garnered significant attention, particularly among individuals struggling with obesity. Currently, Medicare does not cover medications solely for weight management, meaning that for most people, Wegovy may cost upwards of $1,349 per month without insurance. However, a recent FDA approval in March 2024 allows for Wegovy to be prescribed for reducing cardiovascular risks in overweight or obese patients. This change could potentially allow certain Medicare recipients to have the medication covered if they meet specific criteria.

While Wegovy isn't covered for general weight loss at this time, there is hope for changes in policy. The Biden administration has proposed a rule to permit Medicare and Medicaid to cover weight loss drugs, recognizing obesity as a chronic disease. As discussions progress under the incoming Trump administration, the outcome may lead to expanded access to weight management drugs under Medicare, giving those eligible new options for their health management.