BridgeCheck

How it works

Four questions, mapped directly to the CMS criteria.

The check asks only what the Bridge program's eligibility rules actually turn on. Here is each question, and why it's there.

01 Are you enrolled in Medicare Part D? The Bridge program lives inside Part D. Without a Part D plan — stand-alone or through Medicare Advantage — there is no benefit to bill against.
02 Do you have a condition Medicare already covers GLP-1s for? Type 2 diabetes, moderate-to-severe sleep apnea, MASH with significant scarring, and established cardiovascular risk already have GLP-1 coverage under regular Part D. If one applies, that path is usually faster and cheaper than the Bridge program.
03 What is your height and weight? The program keys on body mass index: a BMI of 35 or higher qualifies on its own; 30 or higher qualifies with a condition from question four's kidney/heart/blood-pressure set; 27–29.9 qualifies with prediabetes, a past cardiac event, or symptomatic PAD. BMI is estimated on your device and never transmitted.
04 Has a doctor diagnosed a qualifying condition? The list CMS accepts: prediabetes, a past heart attack or stroke, symptomatic peripheral artery disease, HFpEF, blood pressure still high on two or more medications, or chronic kidney disease at stage 3a or higher. Exact wording matters, which is why the check repeats it verbatim.

What the result is — and isn't

IT IS

A plain-language reading of the published criteria against your answers, and a printable summary you can bring to an appointment — so the conversation with your doctor starts from the right facts.

IT ISN'T

A coverage decision, a diagnosis, or medical advice. Only your doctor and Medicare's program can determine eligibility — the check exists to make that determination faster, not to replace it.

Answers never leave the device.

No account, no forms

Nothing to sign up for. The page works the moment it loads.

Nothing transmitted

Answers and the BMI estimate are computed in the browser and never sent to a server.

Nothing retained

Close or refresh the page and everything is gone. Print first if you want a copy.

The program, in brief

Copay$50 a month, all doses (does not count toward the Part D deductible or out-of-pocket limit)
Covered drugsWegovy, Zepbound KwikPen, Foundayo — not Ozempic or Mounjaro
Cost if not eligibleAbout $350/month via manufacturer self-pay programs
Who's eligible~3.8 million Medicare Part D members
Program windowJuly 1, 2026 — December 31, 2027
Official source Medicare.gov — coverage for weight-loss drugs ↗

Start the check

Frequently asked questions

Is this the same as Ozempic or Mounjaro coverage?

No. Ozempic and Mounjaro are approved for type 2 diabetes and are not part of the Bridge. The Bridge covers weight-loss drugs: Wegovy, Zepbound (KwikPen), and Foundayo.

Does this website decide if I'm eligible?

No. The check is educational and gives you a plain, informational answer to bring to your doctor. Only your doctor and Medicare's program can determine eligibility.

Why does the pharmacy have to deny the claim first?

Under the Bridge, the pharmacy submits the claim and receives a denial before your doctor files the prior authorization. That denial is a required step that triggers the Bridge pathway and the $50 copay.

Are my answers stored anywhere?

No. The check runs entirely in your browser. Your answers are never saved or sent to any server.