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Evenity and Medicare drug coverage
I don’t know if any of you can offer a suggestion — but thought I’d give this group a try. I just started Evenity this past week and it is covered by my current insurance. In August I will be on Medicare and I’m trying to find a drug plan - part D - as I research them — none cover Evenity — with a 17,000+$ cost. Any suggestions. Thanks in advance
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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.
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2 ReactionsI paid $0.00. Medicare paid $5,000+.
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2 ReactionsDid Medicare cover it all because mine said it doesn’t?
@jolie2525 I have Traditional Medicare. I received my Evenity injections at an infusion center. This is a Part B designation as outpatient medical and the injections were administered by the infusion center's nurses. My Evenity injections were completely covered (at $5000/month!). When my endocrinologist prescribed Evenity he told me that I would have to go to an infusion center at a medical center/hospital for these injections. He said this is not a Part D prescription designation.
If you have a Medicare Advantage Plan (which is not Traditional Medicare) then your planjolie2525 I have Traditional Medicare. I received my Evenity injections at an infusion center. This is a Part B designation as outpatient medical and the injections were administered by the infusion center's nurses. My Evenity injections were completely covered (at $5000/month!). When my endocrinologist prescribed Evenity he told me that I would have to go to an infusion center at a medical center/hospital for these injections. He said this is not a Part D prescription designation.
If you have a Medicare Advantage Plan (which is not Traditional Medicare) then your plan is administered by the insurance company that you signed up with such as United Health Care or Blue Cross/Blue Shield. to administer your Medicare. If you called your insurance company and they said Evenity is not covered then I suggest you call them again and tell them that Part B does pay for Evenity and that since Traditional Medicare covers this under Part B they are required to do the same.
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1 ReactionThank You so much for your help. I did speak with someone at my insurance company and they said they only covered 80% and my responsibility is &545 a month but can’t afford that. Maybe it’s because Aetna in Florida doesn’t cover it?