#bridge-program

2 articles tagged #bridge-program.

Editorial still-life illustrating the Medicare GLP-1 Bridge enrollment process and access to weight-loss medication
GuideCost & InsuranceMay 19, 202616 min read

Medicare GLP-1 Bridge Enrollment Guide 2026: $50 Copay for Foundayo, Wegovy & Zepbound

Updated May 19, 2026: The BALANCE Model Part D pilot was canceled April 21, 2026 — the Medicare GLP-1 Bridge is now the ONLY federal Medicare obesity pathway through December 31, 2027. Four drugs covered at a $50/month flat copay: Foundayo, Wegovy injection, Wegovy oral tablet, and Zepbound KwikPen. The $50 does NOT count toward the Part D deductible or the $2,100 out-of-pocket cap. Prior auth routes to Humana (the CMS-designated central processor, operating via LI NET infrastructure). Eligible plan types: PDP, MA-PD, SNP, EGWP, and LI NET. Complete enrollment guide.

Top Picks

Four programs our readers click through most.

Embody

7.3/10
$299/mo·Compounded

Gala

7.2/10
$149/mo·Brand & Compounded

Sesame Care

7.9/10
$99/mo·Brand & Compounded

Affiliate links — we earn a commission at no extra cost to you. Selection reflects what readers convert through, not editorial endorsement. Full ranking + methodology at glp1picks.com.