Key Takeaways:
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Plan G premiums are rising so you should carefully compare alternative supplement plan options.
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A new bridge program will cover specific GLP-1 weight loss medications starting in July.
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COBRA is not active coverage and relying on it can lead to massive medical bills.
If you are joining Medicare in the next 12 months, there are four major changes happening right now that you need to understand. If you miss these updates, you could end up overpaying for coverage or missing out on vital drug benefits. We are going to walk you through exactly what to look for so you get the most out of your healthcare.
If you prefer to watch, you can view the full video here:
Medicare Supplement Plan G Premiums Are Rising
Right now, Medicare Plan G premiums are rising quite substantially. Brokers love to sell these plans, and they are generally good options. However, insurance companies are raising prices so much that it almost seems like they want to push people toward other options.
Do not just assume a Plan G is the right choice for you. We recommend looking at alternatives like Plan N or a High Deductible Plan G. When you look closely at the math, these other plans can be a much better fit for your budget.
New Weight Loss Medication Coverage
There is a new rule regarding GLP-1 medications for weight loss, such as Zepbound. In the past, Medicare Part D and Medicare Advantage plans did not cover these medications strictly for weight loss. Now, a new bridge program is rolling out this July.
This bridge program will provide coverage for weight loss GLP-1 medications with a $50 copay. You must have your doctor prescribe it and get approval from the provider. The official full program will begin on January 1, 2027. Please note that Ozempic is not included in this current new program.
The Hidden Danger of COBRA Insurance
Many people go on COBRA when they are laid off from their company. If you are 65 or older, HR might tell you that COBRA is the same as your employer health insurance. That is not the case once you are eligible for Medicare.
Relying on COBRA can create a massive financial mess. One woman recently received a $42,000 bill because she mistakenly thought COBRA was fine to use instead of Medicare. Medicare is complicated, and COBRA does not meet the necessary requirements in most situations.
Beware of Inaccurate Advice
We are finding that Medicare and Social Security are giving people very bad and inaccurate advice right now. This includes wrong information about when and how you can apply for Medicare. One gentleman even had his Medicare canceled without knowing why.
It feels like internal issues at these government agencies are causing a lot of mistakes. You must think for yourself and ask questions if something sounds off. Having a true advocate is more important now than ever before.
Frequently Asked Questions
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What is the July 2026 bridge program? It is a temporary program starting in July that offers coverage for GLP-1 weight loss medications with a $50 copay before the official program starts in 2027.
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Is COBRA considered active employer coverage? No, it is not the same thing once you are Medicare eligible. Relying on it can lead to massive medical bills.
Navigating these changes can feel overwhelming. That is exactly why The Medicare Coach is here to help anyone looking to enroll into Medicare for the first time. We want to be your true advocate through the entire system.
Through Our Medicare Enrollment Concierge services, we guide you step by step so you can avoid costly mistakes. We ensure you understand your options clearly and confidently.
Are you ready to take control of your healthcare and make the best choice for your future?
Continue Learning About Medicare
- COBRA and Medicare: What You Need to Know
- Medicare vs. Employer Insurance: How to Choose the Right Plan at 65
- What Are My Health Care Options Besides Medicare?
