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DiscussionEvenity and Medicare - What do plans cover and how much?
Osteoporosis & Bone Health | Last Active: Dec 4 8:56am | Replies (129)Comment receiving replies
Replies to "@beanieone my Advantage plan quoted me a $20 copay and then are charging me $776 a..."
Hi @connibar
Unfortunately, I didn’t get a quote prior to starting Tymlos or Evenity, but figured whatever the price was, I was investing in my future health. Tymlos was covered under Part D (the first several months were gut wrenching $$-wise) as a prescription med. After reaching the gap/MOOP, the price was very reasonable.
Evenity, however, ended up with a price tag of about $450/monthly because of that sticky, old “it’s administered in the doc’s office” thing.
When I checked on coverage, I too was told there should only be a $35 office visit co-pay; that was quickly rescinded and clarified. Hmmm . . . I’m guessing that Prolia would be handled the same way as Evenity with the same price tag (or possibly more) forever!
Glad to be finished, at least for now and moving on to Reclast.
Cheers! Have a great weekend!