Weight loss drugs could soon be covered by Medicare and Medicaid
Aug 1, 2025
The Trump administration is considering a shift in health care coverage, allowing Medicare and Medicaid to cover GLP-1 weight loss drugs.
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You've seen the ads, people smiling, playing with their kids and grandkids
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talking about a new lease on life thanks to weight loss drugs such as Ozempic
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Wagovi, Manjaro and Zepbound. Come 2026, those expensive drugs known as GLP-1s could be covered
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by Medicaid and by Medicare Part D starting the following year. The Washington Post reports the
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Trump administration is preparing a five-year pilot program to test the policy. As it stands now
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Medicare only covers GLP-1s for patients with type 2 diabetes. Some private insurers cover them for
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people who are severely overweight, but access remains limited. GLP-1 drugs mimic a hormone
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that regulates blood sugar, helping users feel full longer and curb cravings. The results in
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weight loss have been striking. But so is the price tag. Treatment can cost up to $7,000 a year
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Nearly 100 million Americans meet the clinical definition of obesity Congress estimates Medicare coverage could cost billion between 2026 and 2034 Right now 13 states offer Medicaid coverage
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for GLP-1 drugs to treat obesity. Within the Trump administration, opinions are mixed
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TV's Dr. Oz, who now heads the Centers for Medicare and Medicaid Services, has praised
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the drugs as a major breakthrough. But Health and Human Services Secretary Robert F. Kennedy Jr.
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who's leading the Make America Healthy Again campaign, says the drugs should not replace
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diet and exercise. Pharmaceutical giant Novo Nordisk, maker of Ozempic and Wagovi, supports
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the policy shift, saying coverage through government and commercial insurance plans is critical to affordable health care. Eli Lilly, maker of Manjaro and Zetbound
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has not commented publicly. Details of the pilot project are expected to be finalized
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in the coming months as the administration reviews costs and feedback. For more unbiased updates, download the Straight Arrow News app or go to san.com
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