Free GLP-1 Bridge Screener | GLP-1 Bridge Help

Your Medicare coverage

The Bridge works through Medicare drug coverage, so let's start there.

Are you 18 or older? What kind of Medicare drug coverage do you have?

Not sure? Most people with a Medicare drug plan are in one of the first two groups.

Not sure which you have? Your cards can tell you.

Simplified illustrations — not real cards. Look for the highlighted words on your own cards.

MEDICARE HEALTH INSURANCE

Name

Medicare Number ●●●●–●●●–●●●●

PART A · PART B

The red, white, and blue card everyone with Medicare gets. It has no drug coverage by itself. If this is your only card, you may not have a drug plan — choose "No Medicare drug coverage" or call 1-800-MEDICARE to check.

[Insurance company name]

MedicareRx (PDP)

RxBIN ●●●●●● RxPCN ●●●●

RxGRP ●●●●●

A separate card from an insurance company with "MedicareRx" and RxBIN / RxPCN / RxGRP numbers is a standalone Medicare drug plan (Part D) — the first choice above.

[Insurance company name]

Medicare Advantage (HMO or PPO)

Medical · Hospital · RxBIN ●●●●●●

Copays listed on back

One card from an insurance company that covers everything including drugs — it says "Medicare Advantage" (often with HMO or PPO) and has RxBIN numbers on the same card. That's the second choice above.

Other clues: "D-SNP" or "C-SNP" means a Special Needs Plan. A card showing a former employer or union name is employer coverage (EGWP). Cards mentioning PACE or "cost plan" fit the PACE/other choice.

Your GLP-1 history

This matters more than you'd think — how you got a GLP-1 before can change which coverage route applies.

Have you ever received a GLP-1 medication through your Medicare drug plan (Part D)?

Paying cash — through LillyDirect, NovoCare, a coupon, or a compounding pharmacy — does not count. Answer "Yes" only if your Medicare drug plan paid for a GLP-1.

Are you currently using a GLP-1 medication for weight management (from any source)? Which medication would you like to discuss with your doctor?

The Bridge covers Wegovy (injection and tablets), Zepbound KwikPen, and Foundayo. Single-dose Zepbound pens and vials are not covered.

Your health background

Certain conditions route a GLP-1 request through your regular drug plan instead of the Bridge. That's not a dead end — it's just a different path your doctor should know about.

Is your goal weight reduction or maintaining weight loss?

Has a doctor diagnosed you with any of these? Type 2 diabetes Moderate-to-severe sleep apneaMild sleep apnea does not need to be checked. MASH — metabolic dysfunction-associated steatohepatitis (fatty liver disease) Artery disease — a previous heart attack, stroke, stents or bypass surgery, or blocked leg arteries — where your doctor might prescribe Wegovy mainly to protect your heart, not for weight lossHigh blood pressure or a heart-rhythm problem (like AFib) by itself does not belong here. And a past heart attack or stroke on its own may actually help you qualify — that comes up in the next step.

Leave everything unchecked if none apply or you're unsure.

Height, weight, and qualifying conditions

The program's criteria are based on BMI — body mass index, a single number calculated from your height and weight. You don't need to know yours: enter your height and weight below and we'll show it instantly. One important rule: the Bridge uses your BMI at the time GLP-1 therapy starts — so if you're already taking one, your starting weight is the one that counts.

Height — feet

Height — inches

Current weight (pounds)

Weight when you started GLP-1 therapy (if already using one)

If your BMI is 30 or higher — do any of these apply? Heart failure with preserved ejection fraction (HFpEF) Uncontrolled high blood pressureBlood pressure still above 140 (top number) or 90 (bottom number) even while taking two blood-pressure medications. Chronic kidney disease, stage 3a or higherOn lab reports this usually shows as an eGFR below 60. Check only if a doctor has told you that you have chronic kidney disease.

If your BMI is 27 or higher — do any of these apply? Prediabetes A previous heart attack A previous stroke Peripheral artery disease (blocked leg arteries) with symptomsTypically cramping in the calves that starts with walking and eases within minutes of rest, diagnosed by a doctor — leg pain from arthritis, back problems, or nerve damage (neuropathy) doesn't belong here.

Only check conditions a doctor has diagnosed. A BMI of 35 or higher qualifies on its own — no extra condition needed.

Make it yours (optional)

These details make your doctor message feel personal. Skip anything you'd rather not enter — everything stays in your browser.

Your first name or initials

Your doctor's name

Anything you're already doing for your health?

See how you line up with the GLP-1 Bridge criteria

Your Medicare coverage

Your GLP-1 history

Your health background

Height, weight, and qualifying conditions

Make it yours (optional)

Where you stand

Your message to your doctor

What to gather before your visit

GLP-1 Bridge Doctor Request Packet