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To avoid confusion, it's important to note that Ozempic, which also contains semaglutide, is prescribed specifically for diabetes and is currently included on many Part D Plan formularies. The FDA's decision opens the door for Medicare to cover Wegovy. (CMS) issued a directive allowing Medicare Part D plans to include Wegovy in their formularies. Since Wegovy is self-administered, its coverage will be provided under #medicare Part C plans(that included prescription drug coverage) and stand-alone Part D drug benefit. If you're looking to use Wegovy for weight loss alone, you won't be eligible. However, if you have cardiovascular disease along with obesity or being overweight, you could benefit from this decision. This approval specifically targets individuals with established cardiovascular disease. 3.6 million beneficiaries represent over a quarter of the 13.7 million Medicare beneficiaries diagnosed with obesity or overweight in 2020, potentially providing access to Wegovy for 1 in 4 individuals. Prior Authorization on All Part C and Part D plans will be required and may require multiple steps, and approval is not guaranteed. Another aspect of prior authorization is step therapy, where you might be required to try lower-cost medications first to see if they work, which could save both you and the plan money. Additionally, 2024 Part C and D plans established their rates without accounting for these added costs, meaning they do not have the funds available to pay for Wegovy. Since they cannot increase premiums during the year, finding the necessary funds is also not a realistic possibility. 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I'm BACK with a new grocery haul video! Thanks for your patience as I've been away for about the last four months or so. I'm trying to get back to a normal routine. Hoping to get a chat video up in the next couple weeks to discuss the new Weight Watchers program. I've been following more of a modified animal-based whole foods diet lately so it's been hard to make the Weight Watchers points work. However, with the new changes, I think it's doable for those following animal-based whole foods too!! Thanks so much for watching! I hope you enjoy this video. :) Want to join WW and see whether the plan is a fit for you? Use my link and get a free month: https://www.weightwatchers.com/us/checkout/iaf/?iaftoken=5B8ED54D00 (Please note - I do not work for WW nor am I an affiliate. I am just a member. I share my code just as any other WW member can do. If you share your WW code with someone, they get a free month and you get a free month). The choice to join any type of weight loss program is a personal choice. You have to find what works for you! DISCLAIMER: We are each unique individuals and we all have different bodies. What I eat and my body needs are completely different than yours. I am 53 years old and just shy of 5'0" tall, but even someone else the same height and age as me may have completely different needs than me. So, please don't feel that if you copy what I eat, that's what you need. Please consult with your healthcare provider or dietician for guidance on your personal needs. Views and opinions expressed are my own based on personal experiences and not meant to be advice. Although I am a certified nutrition and weight loss coach with a specialty in behavior change, I am not licensed as a dietician or nutritionist, nor am I a doctor or nurse. The information I'm providing is general information for generally healthy people. This content is for entertainment purposes only. WHERE I GET MY MUSIC: I use royalty-free music from Epidemic Sound. Sign up with my link to get 10% off your first 12 months. The first 30 days are free. Use my code: https://www.epidemicsound.com/referral/8866tv/ // VISIT ME! Website! https://www.planningushealthy.com Facebook: https://facebook.com/planningushealthy Instagram: https://instagram.com/planningushealthy Pinterest: https://pinterest.com/planningushealthy Find me on Fitbit: Kristi W - [email protected] // Visit my Amazon Storefront for items I use: https://amazon.com/shop/planningushealthy **Please note, as an Amazon Associate, I may earn from qualifying purchases on items listed above. By clicking the links, I may receive a small commission. Amazon does not endorse me in any way. I appreciate your support! I will only list items that I have tried and use. // Meal Prep Playlist: https://www.youtube.com/playlist?list=PLlLeJnMTyX78Ps8YJ6_Bf0cDJqmUPB0-c Menu Plan & Grocery Haul Playlist: https://www.youtube.com/playlist?list=PLlLeJnMTyX79jzEUBsraS_5jRODuNRt1W Try THRIVE MARKET: Get 40% off your first order at Thrive Market: http://thrv.me/h399E1 Try BUTCHER BOX! Use my link here for $30 off plus free ground beef for life: http://rwrd.io/htmhi20?c //TRY HOME CHEF MEAL DELIVERY KITS! I love Home Chef when I am strapped for time. Get $35 off when you sign up using my link: https://www.homechef.com/invite/kristinaw782 Sign up for FETCH REWARDS: https://fetchrewards.com, a great way to save money on groceries! Use the promo code A454J. This app works on digital receipts as well, so all those Walmart grocery pickups and Instacart orders will be counted! Try IBOTTA, a cash back rewards app that I use to make real money every time I shop for groceries, online purchases, and more! 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