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Anyone taken Evenity (romosozumab) for Osteoporosis?
Osteoporosis & Bone Health | Last Active: 7 hours ago | Replies (1366)Comment receiving replies
@rjd In my experience your post is not correct. Medicare Part B is not in the umbrella of Medicare Advantage and my Evenity was covered by regular Medicare B, not my Advantage Plan. I cannot have a supplement with my Advantage Plan so I paid 20%. I don't know but it seems those with regular Medicare plus a good supplement may pay little or nothing. After all my Advantage Plan is only $79/month and it covers Part D meds, dental, vision, hearing.
I agree with @normahorn that this discussion is probably better conducted with our insurance companies!
Replies to "@rjd In my experience your post is not correct. Medicare Part B is not in the..."
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Perhaps you might review the Explanation of Benefits for the Evenity and see who issued it. If it came from the government,, then it was processed by Medicare. If it came from your Medicare Advantage insurer, then that is likely the answer.
People with a Medicare supplement (aka Medigap) pay a monthly premium that is often far greater than what those who have Medicare Advantage pay, with some Advantage plans having no monthly premium.
A good overview of how all the various Medicare Plans relate to one another can be reviewed here. https://www.medicareinteractive.org/get-answers/medicare-basics/medicare-coverage-overview/original-medicare
Medicare is unnecessarily complex and makes it difficult to identify anyone who really knows what is going on so an intelligent decision about treatment costs can be made.