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Home / Health / Seniors Struggle as Weight Loss Drug Coverage Vanishes

Seniors Struggle as Weight Loss Drug Coverage Vanishes

21 Dec, 2025

•

Summary

  • Many seniors stop effective GLP-1 drugs within a year due to cost and side effects.
  • Muscle loss is a significant concern, accelerating aging effects in older adults.
  • Medicare's coverage for weight loss drugs remains a contentious and evolving issue.
Seniors Struggle as Weight Loss Drug Coverage Vanishes

Many older adults are discontinuing popular GLP-1 medications, such as Ozempic and Wegovy, within a year of starting them. Reasons include prohibitive costs and side effects like nausea and significant muscle loss, which can accelerate aging symptoms. This cessation often results in weight regain and a loss of crucial health benefits, including improved blood sugar and blood pressure.

These drugs, initially lauded as "wonder drugs" for diabetes and obesity, are now approved for additional uses like preventing heart attacks and strokes. However, patients over 65 are particularly vulnerable to discontinuation. Factors contributing to this include gastrointestinal issues, the unintended loss of lean muscle mass, and the high out-of-pocket expenses when insurance coverage is inadequate or withdrawn, as experienced by Mary Bucklew.

The high cost remains a primary barrier, with drug plans like Medicare facing scrutiny over coverage limitations, particularly for weight-loss indications. While policy changes are emerging to cap out-of-pocket expenses and potentially expand Medicare coverage, questions persist about long-term affordability and the need for comprehensive strategies to manage weight and mitigate side effects in older populations.

Disclaimer: This story has been auto-aggregated and auto-summarised by a computer program. This story has not been edited or created by the Feedzop team.
Seniors like Mary Bucklew often stop Ozempic due to high out-of-pocket costs and side effects such as nausea and muscle loss, leading to loss of benefits.
Discontinuing GLP-1s can lead to weight regain and the loss of health benefits like lower blood pressure and improved blood sugar control, alongside potential accelerated muscle loss.
Medicare's coverage for weight loss drugs is evolving. While currently limited, recent policy discussions and negotiations aim to expand coverage, potentially reducing out-of-pocket costs for beneficiaries.

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