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Evenity timing between appointments

Osteoporosis & Bone Health | Last Active: Jul 28 8:14pm | Replies (20)

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@beanieone

Hi @vrgarden, When you say Medicare paid for all, did you not have a co-pay for either the med or the office visit? I’m having trouble wrapping my head around this. Is it Medicare, our supplemental plans, or a combo of both that pay for Evenity?

I appreciate your input!

Happy Sunny-day. Cheers!

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Replies to "Hi @vrgarden, When you say Medicare paid for all, did you not have a co-pay for..."

Thank you for asking for clarification, @beanieone. I should have said that Medicare paid their portion. then my supplemental paid their portion, then I paid my portion. The supplemental plan I had in 2023 was different than the one I chose for 2024, so my potion was different in 2023 than it was in 2024.
Another clarification as I researched dates since my injections were 28 days apart (except for 2 times I was out of town on the 28th day, so I scheduled them 29 or 30 days apart. Also, I had forgotten there was one month I received on the 1st of the month then again on the 29th of the month--and I remembered that the injections on the 29th were not paid for by Medicare. I'm conscientious and wanted to be sure things are paid for, so about a month laterI called the billing department of the infusion center. The person I spoke to assured me I didn't need to worry, they deal with this all the time and it's their responsibility to communicate with Medicare. A couple months later, I realized it still had not been paid, so I called the billing department of the infusion center again. A different person I spoke to told me the same thing--not to worry and that they communicate and pursue payment with Medicare. She appreciated my desire to be sure it was paid and encouraged me to leave it in their hands--so I did. That's why I had forgotten all about it until this discussion and I had to look it up in my paperwork to refresh my memory : )
I hope this is more clear. I really had forgotten all this. I was so happy I tolerated Evenity and had very good results on my DEXA scan. With info I gathered on this board, my own research, and discussion with my osteoporosis Dr., I began Prolia about 2 weeks ago.