My primary care doctor told me that given that I'm diabetic, he's nearly 100% sure that if he gave a suggestion for me for Wegovy (or one of those drugs), Medicare would approve it and cover it. I'm concerned about adding something like Wegovy because among my various medications and whatever I've been consuming, my A1C has stayed steady after a long period of having been as high as 8.5 and 7.8, and recently the A1C has been in an acceptable range (I think since I started using glimepiride) - and also, I hear those drugs like Wegovy can really back you up in terms of digestion, which can affect how you feel overall.
But it's good to know he's confident the Wegovy-type drugs are available on Medicare. It didn't seem that available when I was on pre-medicare insurance.