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What to Do If Your Medicare Plan Does Not Cover Wegovy If your current Medicare plan does not cover Wegovy or is not participating in the GLP-1 Bridge, there are several steps you can take: Contact your plan directly call your Part D plan or Medicare Advantage plan to confirm whether they are participating in the GLP-1 Bridge and what the process is for accessing coverage Review your formulary check whether Wegovy is listed on your plans drug formulary and under what conditions it is covered Request prior authorization work with your doctor to submit a prior authorization request if your plan requires one Consider switching plans during open enrollment if your current plan does not participate in the GLP-1 Bridge or BALANCE Model, you may want to switch to a participating plan during the Annual Enrollment Period (October 15 to December 7) Appeal a denial if your request for coverage is denied, you have the right to appeal the decision through your plans appeals process What Is the BALANCE Model and What Comes After the GLP-1 Bridge