Boone Insurance Associates

Big news for Medicare Part D members 💊

Starting July 1, 2026, a new pilot program called the Medicare GLP-1 Bridge may make certain weight loss medications more affordable for eligible beneficiaries.

Here are the highlights:
🔷 Covered medications currently include Wegovy, Zepbound (KwikPen formulation), and Foundayo
🔷 Eligible members would pay a flat $50 monthly copay, compared to typical retail prices that can exceed $1,000
🔷 Eligibility is based on BMI plus related health conditions
🔷 Prior authorization from a doctor is required
🔷 The program runs through December 31, 2027

This is one of the most significant Medicare drug coverage changes in years. If you've ever wondered whether GLP-1 medications might fit your health picture, this is worth a closer look.

Finding the right home health agency for yourself or a loved one is one of those decisions that can feel overwhelming, especially when it needs to be made quickly.

That's why we're excited to share that U.S. News & World Report has released its first-ever Best Home Health ratings, evaluating more than 12,000 Medicare-certified agencies across the country. Using real data from the Centers for Medicare & Medicaid Services, the ratings score agencies on care quality, patient outcomes, and patient experience so you can make a more informed choice with confidence.

Here's what stood out: patients treated by top-rated agencies showed greater improvement in everyday activities like getting out of bed, bathing independently, and managing their medications. That's real progress that makes a real difference.

Knowing which agencies are highly rated is a great first step, but knowing how your insurance or Medicare plan covers home health care is just as important. We're here to help you understand your options before you need them.

Do you have questions about home health care coverage? We'd love to help.

INSURANCE INSIGHTS

❓What is a frequency limitation?

A frequency limitation, sometimes called a type of annual limit, is a rule in health, dental, or vision insurance that restricts how often a specific service is covered—usually once within a set time period, like once per calendar year or once every 12 months.

🦷 Example: If your dental plan covers one cleaning every 6 months, that’s a frequency limitation.

Some plans require you to wait the full time period before receiving the service again, while others allow you to receive it once within that time frame, regardless of the exact date.

🚦 Example: One plan may require exactly 365 days between annual checkups, while another allows one per calendar year (e.g., Jan–Dec), even if appointments are just months apart.

📞 Not sure how your plan handles these details? We’re here to help you make sense of it all!