Evenity and Medicare - What do plans cover and how much?

Evenity is covered under Medical, Part B. First you need to meet your insurance company’s deductible, than no cost for the treatment for the rest of the calendar year. Come 2025, you start again to reach your 2025 deductible in that calendar year.

What if you have original Medicare but no supplemental plan?

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.

I have Medicare advantage which follows the Medicare part B payouts. I just finished Evenity and had to pay 20% of the drug cost which was $416 a month and was $467 by the 12th shot. It was expensive but I gained 20% bone density in his and spine.

As others have said, if you have original Medicare with Parta A and B, Evenity injections given on an outpatient basis should be covered by Medicare Part B - at least for now. (It will NOT be covered if self-administered at home.)

That means that Medicare pays 80% after the annual one time Part B deductible ($240 in 2024). You can get a supplement to cover your 20% co-pay.

The Medigap supplement plans are standardized, with the different options identified by letters. A chart summarizing what is covered by the different options can be found at Medicare:
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Compare Medigap Plan Benefits | Medicare
https://www.medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits
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And a broader discussion of Medigap supp plans starts at:
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What's Medicare Supplement Insurance (Medigap)? | Medicare
https://www.medicare.gov/health-drug-plans/medigap
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The section on "Get Medigap Costs" gives an overview + a link to a page where you can look for available plans:
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Get Medigap Costs | Medicare
https://www.medicare.gov/health-drug-plans/medigap/basics/costs
Find a Medigap policy that works for you
https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m?year=2024&lang=en
If you talk to an insurance agent or broker, look for someone who is not pushing Medicare Advantage/Part C plans.

If you have original Medicare but no supplemental plan then Medicare pays 80% and you pay 20% (as opposed to being covered by a supplemental plan).

So did you pay $5,000
Or were you saying that was the individual injection cost to Medicare?

I paid $0.00. Medicare paid $5,000+

I was researching drug coverage — I will be on Medicare soon — I mistaken thought it was under part d but it’s covered under part b — so no problem on coverage.

I paid $0.00. Medicare paid $5,000+.