05/12/2026
๐คฉ Cool Medicare Update That Most People Havenโt Heard About Yet ๐คฉ
A new temporary federal program called the Medicare GLP-1 Bridge is scheduled to begin July 1, 2026, and no one seems to be talking about it, so if you're reading this, you're among the first๐
๐๐ก๐ ๐ฉ๐ซ๐จ๐ ๐ซ๐๐ฆ ๐ฆ๐๐ฒ ๐ก๐๐ฅ๐ฉ ๐๐ฅ๐ข๐ ๐ข๐๐ฅ๐ ๐๐๐๐ข๐๐๐ซ๐ ๐๐๐ง๐๐๐ข๐๐ข๐๐ซ๐ข๐๐ฌ ๐๐๐๐๐ฌ๐ฌ ๐๐๐ซ๐ญ๐๐ข๐ง ๐ฐ๐๐ข๐ ๐ก๐ญ-๐ฅ๐จ๐ฌ๐ฌ ๐ฆ๐๐๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ ๐๐จ๐ซ ๐ ๐๐ข๐ฑ๐๐ $๐๐ ๐ฆ๐จ๐ง๐ญ๐ก๐ฅ๐ฒ ๐๐จ๐ฉ๐๐ฒ ๐ญ๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐๐๐๐๐ฆ๐๐๐ซ ๐๐, ๐๐๐๐.
A few important things to know:
โข This is NOT regular Part D coverage
โข You must already have a Medicare Part D or Medicare Advantage drug plan
โข Your insurance company does not need to โopt inโ
โข Eligibility is based on medical criteria your doctor must certify
Medications currently included in the program:
โข Wegovyยฎ
โข Foundayoยฎ
โข KwikPenยฎ version of Zepboundยฎ
Important financial details:
Part D deductible & spending cap:
This program sits outside the normal Part D benefit structure. That means the $50 you pay does NOT count toward your yearly Part D deductible or the annual $2,100 out-of-pocket prescription drug cap.
Extra Help / LIS:
Extra Help (Low-Income Subsidy) does NOT apply to this program. Even if you normally pay very little for your prescriptions, the $50 copay under this program is currently a fixed amount for everyone.
In general, eligibility requires:
โข BMI of 35+
or
โข Lower BMI levels combined with certain qualifying health conditions such as heart disease, kidney disease, high blood pressure, pre-diabetes, or prior stroke/heart attack
Because this is a medical program, your doctor must submit the approval request.
Have other Medicare questions or issues? Reach out. I help with all things Medicare, and my services are always free with no obligation or strings.
One important note: this is a brand-new federal pilot program, and details may continue to evolve as additional guidance is released.
I'll put a link to the official site in the comments.
~Cheri Head
[email protected]