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This sets up the possibility that Medicare beneficiaries could have coverage of GLP-1s for obesity under the Medicare GLP-1 Bridge in the latter half of 2026 and 2027 but then lose access in 2028 if the BALANCE Model or another coverage pathway are not implemented
Some of their considerations include: If you are eligible for Primary Care If you are enrolled in one of our Condition Management programs and your plan includes virtual care If youve tried to lose weight through lifestyle changes but have not been successful GLP-1 medications are not available through 24/7 Care (General Medical)
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