Medicare

Medicare and GLP-1
weight-loss medication

Your visits are billed to Medicare. If you qualify for the Medicare GLP-1 Bridge, we prescribe through it, and covered medicines cost $50 a month from July 1, 2026 to December 31, 2027.

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Not sure you qualify? That’s what the first visit is for. We check your coverage before you come.

Older couple out for an active walk together
Medicare
Visits billed to Medicare
GLP-1 Bridge for people who qualify
$50 a month at the pharmacy
Prior authorization done for you

Medicare care,
start to finish

One physician-led team for your visits, the Bridge paperwork and your follow-up.

Visits billed to Medicare

See an obesity medicine physician by video, or in person in Deer Park, IL. Your visits are billed to Medicare, and we check your coverage before your first visit.

The Bridge criteria, checked with you

Your physician reviews your health history and BMI with you, and which Bridge pathway, if any, you meet. Medicine is prescribed when it’s right for you.

Prior authorization, handled

We send the prescription to your pharmacy. When the pharmacy asks for a prior authorization, we complete it, and the decision comes within 72 hours of submission.

What the Medicare
GLP-1 Bridge covers

A short-term Medicare program, separate from your regular Part D coverage, that gives people who qualify access to certain GLP-1 medicines.

01

Wegovy

The injection or the tablets.

02

Foundayo

The tablets.

03

Zepbound KwikPen

The KwikPen only. Single-dose Zepbound vials and single-dose pens aren’t covered, and neither are pen needles.

04

$50 a month

For each one-month supply (28 or 30 days, depending on the medicine). It doesn’t count toward your Part D deductible or yearly out-of-pocket limit, and Extra Help can’t lower it. 60- and 90-day fills aren’t available.

Fresh vegetables being prepared for a meal

Do you qualify?

CMS says you need to be 18 or older, have Medicare drug coverage, and meet one of these when you start GLP-1 treatment:

  • A BMI of 35 or higher
  • A BMI of 30 or higher with heart failure with preserved ejection fraction, uncontrolled high blood pressure, or chronic kidney disease stage 3a or higher
  • A BMI of 27 or higher with prediabetes, a previous heart attack, a previous stroke, or peripheral artery disease with symptoms

Drug coverage can come from a stand-alone Part D plan or a Medicare Advantage plan with drug coverage (HMO, HMO-POS or PPO), including Special Needs Plans, employer or union group plans and the LI NET program. Your physician also certifies that you’re using the medicine along with ongoing lifestyle changes, including structured nutrition and physical activity, which is already part of how we care for you.

The Bridge isn’t your route if you already get a GLP-1 through your Part D plan, or if you have type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease; your Part D plan might cover a GLP-1 for those conditions instead. People in a private fee-for-service plan or a cost plan need a stand-alone Part D plan to use it.

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From first visit to first fill

01

Add your Medicare details

Answer a few questions and add your Medicare and drug plan information. We check your coverage before your first visit.

02

Meet your physician

By video, or in person in Deer Park, IL. Your physician reviews your history, your BMI and the Bridge criteria with you.

03

Prescription and prior authorization

If medicine is right for you, we send the prescription to your pharmacy and complete the prior authorization when the pharmacy requests it.

04

$50 a month, with follow-up

You’ll get a letter in the mail when your medicine is covered. You pay $50 at the pharmacy each month, and your follow-up visits are billed to Medicare.

If you don’t qualify, you still have options

Your physician talks through every option with you. The makers sell Wegovy, Zepbound and Foundayo at cash prices (see our GLP-1 cash price guide), but read the terms first: some offers, and the savings cards made for commercial insurance, aren’t available to people with government coverage such as Medicare.

Our self-pay plans aren’t offered at 65 and over. And medicine is one part of a good plan: nutrition, activity, sleep and the other conditions you live with all shape what works for you.

Want the full detail first? Read the Medicare GLP-1 Bridge explained.

Frequently Asked
Questions

Have other questions? Call (312) 625-1889 or email support@aayuwell.com.

Does Aayu Well accept Medicare?

Yes. Your visits are billed to Medicare, and we prescribe through the Medicare GLP-1 Bridge for people who qualify. We check your coverage before your first visit.

How much does the Medicare GLP-1 Bridge cost?

$50 a month for a one-month supply, paid at the pharmacy, from July 1, 2026 to December 31, 2027. It doesn’t count toward your Part D deductible or your yearly out-of-pocket limit, and Extra Help can’t lower it.

Does a Medicare Advantage plan count?

Yes, if it includes drug coverage: HMO, HMO-POS and PPO plans, including Special Needs Plans and employer or union group plans. People in a private fee-for-service plan or a cost plan need a stand-alone Part D plan to use the Bridge.

I have type 2 diabetes. Can I use the Bridge?

No. People with type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease aren’t eligible for the Bridge. Their regular Part D plan might cover a GLP-1 for those conditions, and your physician can help you look into it.

How long does an approval last?

Through December 31, 2027, including refills and dose changes, unless you change to a different GLP-1 medicine.

What if the prior authorization is turned down?

There’s no appeals process under the Bridge. If information was entered incorrectly, we can resubmit the request. For questions about your eligibility, call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048).

Can I choose a self-pay plan instead?

Self-pay plans aren’t offered at 65 and over. If you don’t qualify for the Bridge, your physician walks you through the other options, including the makers’ cash programs. Read their terms first, because some offers aren’t available to people with government coverage.

Where these program details come from

We checked every Bridge detail on this page against CMS and Medicare.gov on November 13, 2026:

Medicare.gov and 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048) have the final word on your own eligibility.

mobile app

The Aayu Well app keeps your care with you between consultations

  • Message your care team
  • Book consultations
  • Request refills
  • See your progress
  • Connect Apple Health or Health Connect
  • Follow your plan and weekly goals
  • Learn with a weekly curriculum
  • Set medication reminders

Scan with your phone's
camera to download

Aayu Well mobile app

Find out if you qualify

Visits billed to Medicare. We check your coverage before your first visit.

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*Medicare coverage and Bridge eligibility depend on your plan and health history, and Medicare makes the final decision. Prior authorization is required for the Bridge. Medicine is prescribed only when your physician decides it is right for you. Program details can change; we last checked them on November 13, 2026. See our Terms & Conditions for full details.