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Medicare B coverage of Evenity

Osteoporosis & Bone Health | Last Active: Jul 20 7:31am | Replies (97)

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@bonesmcgee

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.

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Replies to "Interesting. I wonder why my doc didn't know that. My doc only told me that it..."

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.

Your doc was correct. It is under a medical benefit (Part B) and not under a Rx benefit (Part D).

bonesmagee,
I’m not in NC, but the supplements are the same across the country. We have been happy with United Healthcare.
Regarding Evenity infusions, that is covered under Part B, so the bulk of it is covered by Medicare.