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She explains, Bariatric surgery is typically reserved for patients with more severe obesity, such as those with a BMI of 35 or higher or those with a BMI of 30 and higher with serious metabolic conditions, such as diabetes
"The law prohibits Medicare from covering drugs used for weight loss," explains Juliette Cubanski, deputy director of the program on Medicare Policy at KFF
The follow-on BALANCE Model (Medicare Part D launch January 2027) will further expand coverage with integrated lifestyle support requirements
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