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Forumsβ€ΊInsurance & Accessβ€ΊMedicaid GLP-1 coverage β€” 12 month update β€Ί Page 3

Medicaid GLP-1 coverage β€” 12 month update

sarah_TO Mon, Feb 23, 2026 at 7:59 PM 23 replies 1,120 viewsPage 3 of 5
wei_SG
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Feb 24, 2026 at 12:14 AM#11
julia.endo said:
Medicaid GLP-1 coverage 12 month is not that straightforward in my experience

This is exactly right. julia.endo articulated what I have been trying to explain to my doctor for months. The Medicaid GLP-1 coverage aspect is the most important factor.

Last edited: Feb 24, 2026 at 1:14 AM
24 11WendyG_ATL, SaraMom3, Dr.MetabolicMD and 21 others
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ben_calgary
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Feb 24, 2026 at 12:31 AM#12

Reading this thread on Medicaid GLP-1 coverage hits close to home. Night shift nurse β€” I started at 299 lbs and felt like I would tried everything.

15 months on tirz and I am a different person. Not just the 74 lbs lost β€” my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Medicaid GLP-1 β€” take the leap. It was the best health decision I have ever made. ❀️

27 17CanadaChris, ZaraB_AL, JakeSmashed95 and 24 others
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LindaRN_retired
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Feb 24, 2026 at 12:48 AM#13

andrew_nyc β€” that is really helpful context on Medicaid GLP-1 coverage . Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

7 23amsterdam_pete, LondonLisa, mike_nyc and 4 others
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Dr.NutriCornell
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Feb 24, 2026 at 1:05 AM#14

To answer ben_calgary's question specifically:

From a clinical standpoint, Medicaid GLP-1 coverage 12 is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

22 3JenMemphis, pat_auckland, Dr.GastroMayo and 19 others
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Dr.ObesityMed
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Feb 24, 2026 at 1:22 AM#15

Bookmarked πŸ“Œ The Medicaid GLP-1 info in this thread is essential. Coming back to this for sure.

31 12A1cHero_PHX, Dr.RenalNash, LipidDoc_ATL and 28 others
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