Medicare and Weight Management

Parts B and D

Part B generally covers medically necessary office visits and some obesity counseling in primary care settings. Part D governs outpatient prescription drugs, where the weight-loss exclusion has historically applied.

Coverage may still exist when a medication is prescribed for a separately covered indication such as type 2 diabetes.

Advantage plans

Medicare Advantage plans can offer supplemental benefits and their own formularies, so results vary plan to plan. Verification is the only reliable answer.

How FRDC handles this

Choose Insurance on the new patient intake and enter your carrier. Our team verifies your benefits before your first visit and tells you what you will owe. If your plan is one we are not contracted with, the intake form tells you immediately and shows you the self-pay path instead of letting you find out later.

Self-pay pricing is published: $150/month clinic fee (once every 90 days at maximum Mounjaro dose), Phentermine + B12 $84/month, Mounjaro or Zepbound $399–499/month, Ozempic or Wegovy $199–399/month, B12 injections $15 each. Your information is used only to schedule and verify coverage.

Results framing

Your clinician sets your goals — many plans target 10–16 lbs/month with strict protein protocols; individual results vary.

Medication and dosing are always determined by your clinician after evaluation.

Frequently asked questions

Does Medicare cover Wegovy or Zepbound?

Historically Part D excluded drugs used solely for weight loss; rules are evolving. We verify your current plan.

Are visits covered?

Medically necessary visits are generally covered under Part B.

Can I self-pay for medication under Medicare?

Yes, at published pricing.