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@windyshores

@susanfalcon52 policies of Medicare Advantage are not relevant since it is Medicare Part B that covers Evenity given in a doctor's office or infusion center. People with Medicare Advantage are covered by Part B for Evenity, not their private plans. I pay 20%.

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Replies to "@susanfalcon52 policies of Medicare Advantage are not relevant since it is Medicare Part B that covers..."

It is my understanding that when you have Medicare Advantage, also know as a Medicare Part C plan, it subsumes both Part A and Part B for plan participants. I think of this role as providing an umbrella under which Parts A(hospitalization), B ( doctors and outpatient treatment,) and often Part D (medication not covered under Part B) are administered.

Although an Advantage Plan must provide the same benefits as Medicare Parts A& B, I think it can play around a bit with the procedure for obtaining those benefits. For example, the expanding trend of prior approval might be just that sort of 'playing around.'

I thought I could provide a cite to where I read this on one of the Medicare.gov myriad websites, but cannot locate it now.