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Medicare GLP-1 Bridge

Medicare GLP-1 coverage | Chronos BHW

New Medicare Coverage May Help Make GLP-1 Treatment More Accessible

If you have Medicare and have been interested in GLP-1 treatment for weight management, new coverage options may be available to you.

The Medicare GLP-1 Bridge gives certain eligible Medicare Part D patients access to select FDA-approved GLP-1 medications for weight management for a $50 monthly medication copay.

At Chronos, we'll help you determine whether treatment is medically appropriate, prescribe your medication when appropriate, and navigate the Medicare authorization process with you.

Medication coverage may be changing. Your level of care doesn't have to.

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How the Medicare GLP-1 Bridge Works at Chronos

A clear, step-by-step look at how we support you from evaluation to ongoing care.

STEP 1

Start With a Medical Evaluation

Your provider will review your medical history, current medications, weight and BMI history, health goals, and any qualifying medical conditions.

We'll determine whether GLP-1 treatment is medically appropriate and whether you may meet the current Medicare GLP-1 Bridge requirements.

  • Personalized medical evaluation
  • Review of Medicare Bridge eligibility criteria
  • Treatment recommendations based on your health
  • Access to FDA-approved treatment options when medically appropriate
STEP 2

We Send Your Prescription

If you and your provider decide an eligible GLP-1 medication is appropriate, we'll send the prescription to your preferred pharmacy.

  • Prescription sent directly to your pharmacy
  • We handle the required medication prior authorization on your behalf
  • Our team provides the necessary clinical information for the Medicare GLP-1 Bridge review
  • Access to eligible FDA-approved therapies when medically appropriate
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You don't have to navigate the authorization process alone. We'll help handle the paperwork between your provider, pharmacy, and insurance.

STEP 3

Medicare Determines Your Eligibility

Your pharmacy will process the prescription and the Medicare GLP-1 Bridge prior authorization process will determine whether you meet the program's coverage requirements.

If approved, eligible patients may receive select GLP-1 medications through the Medicare GLP-1 Bridge for a:

$50 Monthly Medication Copay* Medicare GLP-1 Bridge Eligible Copay

Your medication is filled and billed separately by your pharmacy.

Medicare GLP-1 Bridge eligibility and coverage are determined by CMS. Coverage is not guaranteed. Program requirements, eligible medications, and patient costs are subject to change.

STEP 4

Stay Supported With Chronos

Getting access to medication is only one part of medical weight management.

$99/month includes:

  • Continued medical evaluation

    Your treatment doesn't stop once the prescription is approved. We continue evaluating your progress and response to medication.

  • Monthly prescription reorders

    Our team manages your ongoing prescription reorders so you can stay on track with treatment.

  • Provider access

    Questions about your medication, progress, dosing, or side effects? You have access to our medical team throughout treatment.

  • Personalized treatment adjustments

    Your provider can evaluate your response and adjust your treatment plan when medically appropriate.

  • Ongoing weight management support

    We're here to help you get the most out of treatment — not simply send a prescription and disappear.

Your Chronos membership: $99/month
Your medication: Billed separately by the pharmacy

If you qualify for the Medicare GLP-1 Bridge, your eligible medication may have a $50 monthly copay through the Bridge.

What Are You Paying For?

We want the costs to be clear from the beginning.

Chronos Cost

Chronos — $99/month

Your ongoing medical care and prescription management.

  • Continued medical evaluation
  • Monthly prescription reorders
  • Provider access
  • Treatment monitoring
  • Medication adjustments when medically appropriate
  • Prior authorization support
Pharmacy / Medicare

Pharmacy / Medicare — Medication Cost

Your medication is billed separately by the pharmacy.

For patients approved through the Medicare GLP-1 Bridge, eligible medications may have a $50 monthly copay.

The $99 Chronos membership does not include the cost of your medication.

Who May Qualify for the Medicare GLP-1 Bridge?

Medicare has established specific eligibility requirements based on factors including BMI, medical history, qualifying health conditions, Medicare coverage, and the reason the medication is being prescribed.

Some patients may qualify based on a BMI of 35 or greater, while patients with lower BMIs may qualify when certain additional health conditions are present.

Already taking a GLP-1? You may still be eligible. Certain Medicare criteria consider your BMI and health status when GLP-1 therapy was initially started, not simply where your weight is today.

Not sure whether you qualify? That's what we're here to help you determine.

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Medicare weight loss medication coverage, does Medicare cover GLP-1 for weight loss, Medicare Wegovy coverage, Medicare Zepbound coverage

Already a Medicare Patient Taking a GLP-1?

Don't assume you have to start over.

If you've already been taking a GLP-1 medication, bring your treatment history with you. Our team can review your previous medication, starting BMI, current treatment, health history, and Medicare coverage to determine what options may be available.

If appropriate, we'll help you navigate the next steps.

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Why Choose Chronos for GLP-1 Treatment?

Getting the medication is only the beginning.

GLP-1 treatment shouldn't feel like a monthly prescription transaction.

At Chronos, our providers look at the bigger picture, how you're responding to treatment, side effects, nutrition, lifestyle, progress, plateaus, dosing, and what makes sense for your health long term.

We believe in using the lowest effective dose for as long as it's working appropriately, rather than automatically increasing medication on a predetermined schedule.

Your treatment should be individualized to you.

Medicare may help with access to the medication. Chronos helps manage the care around it.

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Medicare GLP-1 Bridge FAQs

  • Does Medicare cover GLP-1 medications for weight loss?

    Certain Medicare Part D beneficiaries may now qualify for select GLP-1 medications for weight management through the Medicare GLP-1 Bridge. Patients must meet the program's eligibility requirements and receive prior authorization.

  • How much will my GLP-1 medication cost?

    Patients approved for an eligible medication through the Medicare GLP-1 Bridge may pay a $50 copay for a monthly supply. Medication is filled and billed separately by the pharmacy.

  • Is the $99 Chronos cost my medication cost?

    No. The $99/month Chronos Brand-Name Medication Program covers your continued medical evaluation, monthly prescription reorders, provider access, treatment monitoring, and prescription management. Your medication is billed separately by the pharmacy.

  • Will Chronos handle my Medicare prior authorization?

    Yes. When prior authorization is required, our team will submit the necessary clinical information on your behalf as part of the prescription process.

  • Does qualifying for Medicare mean I'm automatically approved?

    No. Medicare GLP-1 Bridge coverage is subject to specific eligibility and clinical requirements. Approval is determined through the Medicare GLP-1 Bridge authorization process and cannot be guaranteed by Chronos.

  • Can I come to Chronos if I'm already taking a GLP-1?

    Yes. If you're already taking a GLP-1, our providers can review your treatment history, previous BMI and health information, current medication, and Medicare eligibility to determine appropriate next steps.

FAQ about Medicare GLP-1 Bridge Gap | Chronos BHW

Think You May Qualify?

Let's Find Out.

If Medicare coverage previously kept you from exploring GLP-1 treatment (or you're already taking a GLP-1 and want to know whether the new Bridge could apply to you) our team can help you understand your options.

We'll evaluate your health, determine whether treatment is appropriate, help navigate the authorization process, and continue managing your care throughout treatment.

You don't have to figure out the Medicare GLP-1 Bridge on your own.

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