Medicare B coverage of Evenity

If you have traditional Medicare (with or without a medigap plan), Tymlos is not covered under Part B. Rather you need a Part D RX plan. (I don't know anything about Medicare Advantage plans.)

I had my sixth dose of Evenity last week. My Medicare Part B covered it at 100% because I have it in an infusion center.

Susan ,
I can’t remember if you told us if you have the advantage plan ? My insurance rejected the infusion center and I give my own injections. I live in Nevada and all states are different I guess . I was paying $560. Per shot and my recent went down to $340 .

Kristie2,
I’m not on an Advantage plan. I’m on traditional Medicare. Part B pays for Evenity because I have it in infusion center.

My numbers were better after one year of Prolia but I had dental work so I quit it and my doc put me on Evista for 2 years. My latest scan had much worse numbers. Now she wants to put me on Evenity starting after I turn 65 in August. She told me to research Medicare supplements so I can afford it.

I can't seem to get anywhere looking on my own in a confusing maze of companies and policies.

Can anyone tell me exactly which supplemental plans cover most of the cost? Or is it true that Part B will do it? I'm otherwise very healthy and am in NC if that makes a difference.

Interesting. I wonder why my doc didn't know that. My doc only told me that it would be under a medical benefit, not an Rx benefit.

I did call my pharmacy and they said each shot is $1000 and are given 2 at a time so it would not be $5000 here in NC.

I'm new at this but Part A and B come automatically with Medicare, but a supplemental plan gives more coverage and in some cases is 'free'.
I thank you for your info which shows I should go with the same supplement you have and would like to know if you're in NC.

I have traditional Medicare and AARP UnitedHealth. I am in NC and haven't paid a dime yet. Do t rely on your docs to know what is covered by whom. Unless you have a doc that has experience. Do your home work with Medicare and supplemental.

Interesting. I wonder why my doc didn't know that. My doc only told me that it would be under a medical benefit, not an Rx benefit.

I did call my pharmacy and they said each shot is $1000 and are given 2 at a time so it would not be $5000 here in NC.

I'm new at this but Part A and B come automatically with Medicare, but a supplemental plan gives more coverage and in some cases is 'free'.
I thank you for your info which shows I should go with the same supplement you have and would like to know if you're in NC.