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.

How Much Does a Medicare Coach Cost?
Mar 20, 2023

Does Medicare Cover Robotic Surgery?
Nov 28, 2022

15 Best Ways for Seniors to Stay Active in Denver
Mar 9, 2023

Does Medicare Have Limitations on Hospital Stays?
Mar 15, 2024

20 Questions to Ask Your Medicare Agent
Mar 17, 2023

Does Medicare Cover Air Purifiers?
Nov 18, 2022

Should You Work With A Remote Medicare Agent?
Sep 20, 2023

How Medicare Costs Can Pile Up
Oct 11, 2022

Does Medicare Pay for Bunion Surgery?
Nov 29, 2022

Does Medicare Pay for Varicose Vein Treatment?
Nov 18, 2022

Fair Square Bulletin: We're Revolutionizing Medicare
Apr 27, 2023

What is Plan J?
Jul 14, 2025

Does Medicare Cover Wart Removal?
Jan 17, 2023

How is Medicare Changing in 2025?
Dec 21, 2022

How to Enroll in Social Security
Apr 28, 2023

Can I Use Medicare Part D at Any Pharmacy?
Aug 28, 2023

Does Medicare Cover Nuedexta?
Nov 30, 2022

Medicare Explained
Jan 3, 2022
13 Best Ways for Seniors to Stay Active in Jacksonville
14 Best Ways for Seniors to Stay Active in Washington, D.C.
2024 Fair Square NPS Report
2025 Medicare Price Changes
Can Doctors Choose Not to Accept Medicare?
Can I Change My Primary Care Provider with an Advantage Plan?
Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?
Can Medicare Help with the Cost of Tyrvaya?
Denied Coverage? What to Do When Your Carrier Says No
Do All Hospitals Accept Medicare Advantage Plans?
Do I Need to Renew My Medicare?
Do Medicare Supplement Plans Cover Dental and Vision?
Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?
Does Medicare Cover a Spinal Cord Stimulator?
Does Medicare Cover Abortion Services?
Does Medicare Cover an FMT?
Does Medicare Cover Bariatric Surgery?
Does Medicare Cover Bladder Sling Surgery?
Does Medicare Cover Cold Laser Therapy (CLT)?
Does Medicare Cover Cosmetic Surgery?
Does Medicare Cover Driving Evaluations?
Does Medicare Cover Fosamax?
Does Medicare Cover Hoarding Cleanup?
Does Medicare Cover Home Heart Monitors?
Does Medicare Cover Ilumya?
Does Medicare Cover Incontinence Supplies?
Does Medicare Cover Kidney Stone Removal?
Does Medicare Cover Kyphoplasty?
Does Medicare Cover Linx Surgery?
Does Medicare Cover Lipoma Removal?
Does Medicare Cover LVAD Surgery?
Does Medicare Cover Mouth Guards for Sleep Apnea?
Does Medicare Cover Ofev?
Does Medicare Cover Orthodontic Care?
Does Medicare Cover Penile Implant Surgery?
Does Medicare Cover PTNS?
Does Medicare Cover Qutenza?
Does Medicare Cover RSV Vaccines?
Does Medicare Cover Scleral Lenses?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover SIBO Testing?
Does Medicare Cover Stair Lifts?
Does Medicare Cover the Urolift Procedure?
Does Medicare Cover Urodynamic Testing?
Does Medicare Cover Vitamins?
Does Medicare Pay for Allergy Shots?
Does Medicare pay for Opdivo?
Does Medicare Require a Referral for Audiology Exams?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Everything About Your Medicare Card + Medicare Number
Explaining the Different Enrollment Periods for Medicare
Fair Square Client Newsletter: AEP Edition
Finding the Best Vision Plans for Seniors
Gap Health Insurance: The Secret Sidekick to Your High-Deductible Plan
Health Savings Accounts (HSAs) and Medicare
How Much Does Medicare Part B Cost in 2025?
How to Compare Medigap Plans in 2025
Is PAE Covered by Medicare?
Is Vitrectomy Surgery Covered by Medicare?
Medigap Plan N vs. Plan G — Which One Fits You in 2025?
Medigap vs. Medicare Advantage
Saving Money with Alternative Pharmacies & Discount Programs
Seeing the Value in Fair Square
What Are Medicare Part B Excess Charges?
What If I Don't Like My Plan?
What Is Medical Underwriting for Medigap?
What is the 8-Minute Rule on Medicare?
What Is the Medicare Birthday Rule in Nevada?
What is the Medicare ICEP?
What's the Deal with Flex Cards?
What's the Difference Between HMO and PPO Plans?
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
Fair Square Medicare
