Title: Weight Loss Drug Covered by Medicare: A Comprehensive Guide

Introduction:

Losing weight can be a daunting task, especially for individuals with a medical condition such as obesity. Obesity is a growing health concern in the United States, and it can increase the risk of developing various health problems, including diabetes, hypertension, and heart disease. Fortunately, there are several weight loss medications available that can help individuals achieve and maintain a healthy weight. If you are a Medicare beneficiary, you may be wondering if any of these medications are covered by your insurance. In this article, we will explore the weight loss drugs covered by Medicare and provide guidance on how to obtain coverage.

Weight Loss Medications Covered by Medicare:

Medicare Part D covers certain weight loss medications, including:

1. Orlistat (Alli): Orlistat is an over-the-counter drug that works by preventing the absorption of fat from food. It is available in two strengths: 60 mg and 120 mg.
2. Lorcaserin (Belviq): Lorcaserin is a prescription medication that works by targeting the brain’s appetite centers to reduce hunger and increase feelings of fullness.
3. Phentermine-topiramate (Qsymia): Phentermine-topiramate is a prescription medication that combines the weight loss properties of phentermine with the glucose-modulating effects of topiramate.
4. Naltrexone-bupropion (Contrave): Naltrexone-bupropion is a prescription medication that combines the weight loss properties of bupropion with the anti-obesity effects of naltrexone.

How to Obtain Coverage:

To obtain coverage for a weight loss medication under Medicare Part D, you must:

1. Have a valid prescription: You can only obtain a weight loss medication with a valid prescription from your doctor.
2. Meet the criteria: Your doctor must assess your body mass index (BMI) and determine that you are eligible for weight loss treatment.
3. Choose a Medicare Part D plan: You must enroll in a Medicare Part D plan that covers the medication you need.
4. Pay the copayment or coinsurance: You will be responsible for paying a copayment or coinsurance for each prescription fill.

Tips and Considerations:

1. Consult your doctor: Before starting any weight loss medication, consult your doctor to discuss the potential benefits and risks.
2. Check your plan’s formulary: Review your Medicare Part D plan’s formulary to ensure that your weight loss medication is covered.
3. Use online resources: Utilize online resources, such as Medicare’s website, to research your plan’s coverage and pricing.
4. Combine with lifestyle changes: For optimal results, combine your weight loss medication with lifestyle changes, such as a healthy diet and regular exercise.

Conclusion:

Weight loss medications can be an effective tool for individuals struggling with obesity. If you are a Medicare beneficiary, you can access these medications through Medicare Part D. To obtain coverage, you must have a valid prescription, meet the criteria, choose a Medicare Part D plan, and pay the copayment or coinsurance. By consulting your doctor, checking your plan’s formulary, using online resources, and combining your medication with lifestyle changes, you can achieve your weight loss goals and improve your overall health.