Disclaimer: This content is for informational purposes only and should not be used as a substitute for medical advice. Consult a qualified healthcare professional before taking any prescription medication.
Diabetes is a chronic condition that’s becoming increasingly common among seniors. Managing diabetes often involves continuous medication, resulting in significant expenses over time.
Ozempic helps control your blood sugar level. However, it can be expensive, especially if you're uninsured.
Fortunately, most Medicare
Let's look at Ozempic, how Medicare covers it, and how you can get financial assistance to help with your out-of-pocket costs.
Ozempic is a prescription medication used to treat type 2 diabetes.
Type 2 diabetes is a chronic condition where your pancreas doesn't produce enough insulin or your cells don't use insulin effectively, leading to high blood sugar levels.
Ozempic's active ingredient, semaglutide, imitates the hormone GLP-1 stroke
Note: Ozempic has received FDA approval only for treating type 2 diabetes. Prescribing Ozempic for weight loss is considered "off-label" use, which means it's being used to treat a condition not approved by the FDA. It's important to follow your doctor's advice and use Ozempic only as prescribed.
Ozempic lowers blood sugar levels in 3 ways:
Stimulating the pancreas to release more insulin in response to high blood glucose levels.
Inhibiting the liver from producing and releasing excessive glucose into the bloodstream.
Reducing the rate at which food empties from the stomach after a meal.
[
Ozempic's Mechanism of Action | HealthMatch
]( https://healthmatch.io/weight-management/is-ozempic-safe-for-weight-loss
Ozempic is typically administered via an injection pen once per week into a thin layer of fat in the arms, thighs, or abdomen.
Yes. Medicare covers Ozempic, but it may depend on your specific plan.
Here's a detailed breakdown of how different parts of Medicare may cover Ozempic:
Medicare Part D — Most Medicare Part D plans cover Ozempic. Check your plan's formulary or ask your insurance provider to confirm your coverage
Medicare Advantage Plan — If you're enrolled in a Medicare Advantage Plan
Medicare Part B — If you receive Ozempic in a doctor's office or at a skilled nursing facility, your Medicare Part B
Medicare Part A — If you receive Ozempic while you're admitted to a hospital or a skilled nursing facility, Medicare Part A
The typical retail cost of Ozempic is approximately $1,000. However, this cost may vary depending on the pharmacy you purchase from, your insurance coverage and your dosage.
If you have a Medicare prescription drug
If you haven't met the annual deductible, you’ll be responsible for the total retail price of the drug.
Once your deductible is met, you’ll move into the Post-Deductible phase (also known as the Initial Coverage stage), where you’ll be responsible for a copay, and your plan will cover the remaining drug expenses.
Your co-pay can be as little as $35 per month, depending on your plan. The average co-pay is around $209 per month.
During the Coverage Gap phase (also known as the Donut Hole
Once you reach the Catastrophic Coverage phase, Medicare should cover most of your drug expenses.
Ozempic can be expensive, especially if you don't have insurance. Even with coverage, the costs can still add up quickly.
Here are some ways you can get Ozempic at a lower price:
Ozempic coupons can be a cost-effective option instead of relying on Medicare, especially if your Medicare co-pay is higher than $935.42. Companies such as GoodRx SingleCare
The Patient Assistance Program
Individuals with private or commercial insurance coverage may be eligible
If you have a limited income, you can seek financial assistance by applying for the Medicare Extra Help eligible
Obtaining a three-month supply of medication from certain mail-order pharmacies can be a cost-effective option compared to traditional retail pharmacies. It also provides the convenience of having the medication delivered to your doorstep every 90 days. Check with your insurance provider if you're eligible for this option.
Different pharmacies provide medications at different rates. To obtain Ozempic at the lowest cost, compare the price of the medication at your nearby pharmacies.
If you're uninsured or your insurance provider denies your request for Ozempic's prior authorization, you can ask your healthcare provider to suggest less expensive alternatives to Ozempic.
Ozempic (semaglutide) is a prescription medication that mimics the hormone that helps regulate blood sugar levels. Along with a healthy diet and regular exercise, Ozempic can effectively decrease blood sugar levels.
Diabetes management requires continuous medication, which may lead to significant expenses in the long run. Fortunately, the Medicare Part D and Medicare Advantage plans that include prescription drugs help cover the cost of Ozempic. Various programs are also available to help alleviate your out-of-pocket costs if you’re uninsured or have limited income.
If you have any questions regarding Ozempic coverage or want to learn more about ways to reduce your out-of-pocket costs, call us at 1-888-376-2028. Our advisors can help find the best healthcare plan for you.
Does Medicare Cover Kyphoplasty?
Dec 9, 2022
Does Medicare Cover the Urolift Procedure?
Dec 6, 2022
Do I Need Medicare If My Spouse Has Insurance?
Dec 19, 2022
14 Best Ways for Seniors to Stay Active in Nashville
Mar 10, 2023
Explaining the Different Enrollment Periods for Medicare
Feb 3, 2023
Does Medicare Cover Krystexxa?
Nov 18, 2022
Does Medicare Cover COVID Tests?
Dec 21, 2022
Does Medicare Cover ESRD Treatments?
Dec 8, 2022
How Much Does Xeljanz Cost with Medicare?
Jan 25, 2023
Does Your Plan Include A Free Gym Membership?
Jul 12, 2023
Last Day to Change Your Medicare Part D Plan
Jul 14, 2025
14 Best Ways for Seniors to Stay Active in Seattle
Mar 10, 2023
Estimating Prescription Drug Costs
May 25, 2020
Does Medicare Cover Oxybutynin?
Dec 2, 2022
Does Medicare Cover SIBO Testing?
Dec 1, 2022
Seeing the Value in Fair Square
May 15, 2023
How to Apply for Medicare?
Jul 15, 2022
Is Balloon Sinuplasty Covered by Medicare?
Dec 1, 2022
14 Best Ways to Stay Active in Charlotte
20 Questions to Ask Your Medicare Agent
Are Medicare Advantage Plans Bad?
Can I Change Medicare Advantage Plans Any Time? | Medicare Plans
Can I Choose Marketplace Coverage Instead of Medicare?
Can I Have Two Primary Care Physicians?
Can I Laminate My Medicare Card?
Can I switch From Medicare Advantage to Medigap?
Can Medicare Advantage Plans be Used Out of State?
Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?
Comparing All Medigap Plans | Chart Updated for 2025
Do All Hospitals Accept Medicare Advantage Plans?
Do I Need to Renew My Medicare?
Do You Need Books on Medicare?
Does Medicare Cover Abortion Services?
Does Medicare Cover Air Purifiers?
Does Medicare Cover an FMT?
Does Medicare Cover Bladder Sling Surgery?
Does Medicare Cover Boniva?
Does Medicare Cover Cala Trio?
Does Medicare Cover Cardiac Ablation?
Does Medicare Cover Cataract Surgery?
Does Medicare Cover Chiropractic Visits?
Does Medicare Cover Cold Laser Therapy (CLT)?
Does Medicare Cover Compounded Medications?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Disposable Underwear?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Fosamax?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Ilumya?
Does Medicare Cover Inspire for Sleep Apnea?
Does Medicare Cover Jakafi?
Does Medicare Cover Kidney Stone Removal?
Does Medicare Cover Mental Health?
Does Medicare Cover Mouth Guards for Sleep Apnea?
Does Medicare Cover Penile Implant Surgery?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover the WATCHMAN Procedure?
Does Medicare Cover Vitamins?
Does Medicare Cover Zilretta?
Does Medicare Pay for Antivenom?
Does Medicare pay for Opdivo?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Explaining IRMAA on Medicare
Finding the Best Vision Plans for Seniors
How Are Medicare Star Ratings Determined?
How Much Does a Pacemaker Cost with Medicare?
How Much Does Medicare Part B Cost in 2025?
How Much Does Open Heart Surgery Cost with Medicare?
How Much Does Rexulti Cost with Medicare?
How Much Does Trelegy Cost with Medicare?
How Often Can I Change Medicare Plans?
How to Deduct Medicare Expenses from Your Taxes
Is Displacement Affecting Your Medicare Coverage?
Is Emsella Covered by Medicare?
Is PAE Covered by Medicare?
Is Vitrectomy Surgery Covered by Medicare?
Medicare Advantage MSA Plans
Medicare Savings Programs in Kansas
Medigap Plan N vs. Plan G — Which One Fits You in 2025?
Medigap vs. Medicare Advantage
Plan G vs. Plan N
Welcome to Fair Square's First Newsletter
What Are Medicare Part B Excess Charges?
What Is a Medicare Advantage POS Plan?
What Is a Medicare Supplement SELECT Plan?
What is Plan J?
What To Do If Your Medicare Advantage Plan Is Discontinued
When to Choose Medicare Advantage over Medicare Supplement
Will Medicare Cover Dental Implants?
Will Medicare Cover it?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M